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患者陈某,女:16岁。农民,1992年9月30日入院。4年前曾发现颈部包块,渐增大,曾在当地医院诊为“甲亢”断续服“他巴唑’约300片无效,半年前逐渐消瘦,面色苍白,乏力,近两月来头昏加重,反复发热、眼黄、尿黄．查体T36℃,P100次,R20次,BPl2/5kPa,神清,精神萎糜,重度贫血貌,全身皮肤苍黄色,巩膜明显黄染,两侧甲状腺ⅱ°肿大,表面结节状,质中,无压痛,心率100次/分,律齐,心尖部Ⅱ°SM,P_2>A_2,肝肋下2指余,脾肋下3指,质中等．
Patient Chen, female: 16 years old. Peasants, admitted on September 30, 1992. 4 years ago found that the neck mass, increasing, once in the local hospital diagnosed as “hyperthyroidism” intermittent service “methimazole” about 300 invalid, gradually thin six months ago, pale, weak, in the past two months Excessive dizziness, repeated fever, eye yellow, urine yellow. Physical examination T36 ℃, P100 times, R20 times, BPl2 / 5kPa, Shen Qing, spiritual wilt Mi, severe anemia appearance, body pale yellow, scleral obvious yellow dye, Side Ⅱ thyroid enlargement, nodular surface, quality, no tenderness, heart rate 100 beats / min, law Qi, apex Ⅱ ° SM, P_2> A_2, Medium quality.