论文部分内容阅读
1病例介绍患者男,34岁。因双下肢及颜面部水肿半年,加重伴疼痛麻木乏力3个月于2010年6月入院。患者入院半年前不明原因出现双下肢及颜面部水肿,水肿表现为晨起颜面水肿较重,下午至傍晚双下肢水肿加重,就诊于当地医院。检查甲状腺功能示:促甲状腺激素(TSH)27.18 mU/L,血三碘甲腺原氨酸3.42 pmol/L,血甲状素12.08 pmol/L。风湿指标示:超敏C反应蛋白(hs-CRP)5.62 mg/L,抗链球菌溶血素O(ASO)425
1 case description Patient male, 34 years old. Due to double lower extremities and facial edema for six months, aggravating pain and numbness 3 months in June 2010 admitted. Six months before admission, patients with unexplained bilateral lower extremities and facial edema, edema showed heavy facial edema heavier, afternoon to evening double lower extremity edema, visit a local hospital. Thyroid function tests showed thyrotropin (TSH) 27.18 mU / L, blood triiodothyronine 3.42 pmol / L and hemoglobin 12.08 pmol / L. Rheumatism indicators: high-sensitivity C-reactive protein (hs-CRP) 5.62 mg / L, anti-streptolysin O (ASO) 425