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[病历摘要]边晓华,女,11岁。1983年2月出现眼球突出,多食善饥,喜冷怕热,易出汗,易激动,消瘦、心悸,双上眼脸下垂,晨起轻,下午重,以右侧明显。~(131)I高于正常,T_3>600ng/dl,T_417.8μg/dl。诊断:甲状腺功能亢进伴发重症肌无力,用他巴唑、新斯的明后症状缓解。1986年2月份无诱因又出现突眼双侧上眼睑下垂,甲状腺弥散Ⅰ°肿大,可闻及血管杂音,第一心音亢进,心率88次/分,T46.7μg/dl,T_3128ng/dl,经用新斯的明后眼睑能上举。诊断:突限性甲状腺肿,重症肌无力。给予他巴唑5mg 3次/日
[Medical records summary] Side Xiaohua, female, 11 years old. In February 1983 there were prominent eyes, eat more good hunger, like cold and heat, easy to sweat, easily excited, weight loss, palpitations, double face drooping, morning light, heavy afternoon, to the right obvious. ~ (131) I higher than normal, T_3> 600ng / dl, T_417.8μg / dl. Diagnosis: hyperthyroidism associated with myasthenia gravis, with methimazole, neostigmine after the symptoms ease. February 1986 uninjured and there are exophthalmos on both sides of the ptosis, thyroid diffuse I ° enlargement, can be heard and vascular murmur, first heart sound hyperthyroidism, heart rate 88 beats / min, T46.7μg / dl, T_3128ng / dl , After neostigmine eyelid can lift. Diagnosis: sudden goiter, myasthenia gravis. Metabazole given 5mg 3 times / day