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患者女,35岁。9个月前在金华某院因“甲亢”行手术治疗。术后1个月出现全身匀称性非凹陷性浮肿,并感畏寒、乏力、纳差,月经提前或延迟且淋漓不净,体重增加,反应迟钝、音哑,未行治疗。术后2个月,发现全身皮肤黄染、粗糙。当地医院诊为“黄疽型肝炎”,使用中西药物治疗半年未好转。于1991年1月入院。体检:反应迟钝,唇厚,全身广泛浮肿无凹陷,皮肤粗糙深度黄染以掌心为著。心肺肝脾检查均正常,胸腹腔无积液征象。实验室检查,TT_3,0.75nmol/L,TT_425.47
Female patient, 35 years old. Nine months ago in Jinhua a hospital due to “hyperthyroidism” surgical treatment. One month after operation, there was systemic non-pitting edema with general feeling of chills, weakness, anorexia, early or delayed menstrual flow and no dripping, weight gain, unresponsiveness, dumbness and no treatment. 2 months after surgery, the body was found yellowish skin, rough. The local hospital diagnosed as “jaundice hepatitis”, the use of Chinese and Western medicine six months did not improve. In January 1991 admitted. Physical examination: unresponsive, lip thick, extensive body edema without depression, the depth of the skin yellow dyed palm-based. Cardiopulmonary liver and spleen examination were normal, no signs of pleural effusion. Laboratory tests, TT_3, 0.75nmol / L, TT_425.47