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例1:女,53岁。因心悸、怕热多汗二年余,伴有食欲亢进,性情急躁和体重减轻,曾诊断甲亢,经服他巴唑半年,自觉症状消失,后自行停药。半年后症状复发,未求医。此次因高热、恶心、呕吐一天入院。体检:体温39.5～40℃,脉搏136次/分,血压140/70毫米汞柱,意识清楚,躁动不安,无眼征,甲状腺呈Ⅰ度肿大.无血管鸣.两肺正常,第一心音亢进,肝脾未触及,诊断:1.甲亢;2.甲亢危象。经服他巴唑,心得安和静滴氢化考的松,一天后体温降至正常。后查甲状腺吸~(131)I率增高,并高峰前移。血清总T_4 10.6微克/100毫升,T_3 5.0毫微克/毫升,经治疗一个月,自觉症状消失,T_4、T_3复查正常。
Example 1: Female, 53 years old. Due to heart palpitations, fear of hot sweat more than two years, accompanied by appetite hyperthyroidism, impatience and weight loss, had diagnosed hyperthyroidism, by taking methimazole six months, subjective symptoms disappear, after their withdrawal. Six months after the symptoms recurrence, did not seek medical attention. The high fever, nausea, vomiting day admission. Physical examination: body temperature 39.5 ~ 40 ℃, pulse 136 beats / min, blood pressure 140/70 mm Hg, awareness, restlessness, eye sign, thyroid was grade Ⅰ enlargement. Sound hyperthyroidism, liver and spleen not touched, diagnosis: 1. hyperthyroidism; 2. hyperthyroidism crisis. After taking methimazole, Andean peace of mind test hydrocortisone test, one day after the temperature dropped to normal. Check after thyroid suction ~ (131) I rate increased, and the peak forward. Serum total T_4 10.6 micrograms / 100 ml, T_3 5.0 ng / ml, after a month of treatment, symptoms disappeared, T_4, T_3 was normal.