论文部分内容阅读
例1 女,46岁。心慌、多汗、消瘦3月,甲状腺肿大,于1984年6月2日确诊为甲亢,即开始服他巴唑30mg/日,3周后症状好转。6月27日突然高热、咽痛、咳嗽,6月30日急诊入院。查体:体温38.1℃,脉搏108次/分,急性重病容,消瘦,双眼球轻度突出,咽充血,双侧扁桃体Ⅱ°肿大,表面有多处溃疡及脓性分泌物。甲状腺Ⅰ°肿大,无血管杂音。左肺下可闻及湿鸣,肝脾未扪及。血色素10.5g%,白细胞2000/mm~3,中性24/50,淋巴26/50。骨髓检查有核细胞增生减低,粒系极度减少,红系亦受抑制。血培养阴性,咽拭
Example 1 Female, 46 years old. Palpitation, sweating, weight loss March, goiter, was diagnosed on June 2, 1984 hyperthyroidism, that is, taking methimazole 30mg / day, 3 weeks after the symptoms improved. June 27 Suddenly fever, sore throat, cough, June 30 emergency admission. Physical examination: body temperature 38.1 ℃, pulse 108 beats / min, acute and severe disease, weight loss, mild prominent bilateral eyes, pharyngeal congestion, bilateral tonsil enlargement, surface ulcers and purulent secretions. Thyroid Ⅰ ° swollen, no vascular noise. Left lung can smell and wet Ming, liver and spleen not palpable. 10.5g% hemoglobin, leukocyte 2000 / mm ~ 3, neutral 24/50, lymph 26/50. Bone marrow examination showed a decrease of nucleated cell hyperplasia, extremely reduced granulocyte, erythroid also inhibited. Negative blood culture, pharyngeal swab