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患者,女,20岁,因怕热多汗、多食消瘦1 a,加重2 d于2000年2月15日17时入院。查体T 36.7℃、P 104次/min、BP 110/80 mmHg,一般情况可,突眼征,甲状腺呈弥漫性Ⅱ°肿大,左上极可闻及血管杂音。心率104次/min,律齐,无杂音,舌、双手细震颤(+),诊断为“甲状腺机能亢进”。入院前口服他巴唑Methi-mazole又称甲巯基咪唑、倍他乐克又称美托洛尔Metoprolol,疗效尚可,春节期间自行停药约4d后,上述症状加重。入院当天查血象正常。B超示右侧甲状腺50×26×28 mm~3,左侧甲状腺58×26×31 mm~3,峡部厚10 mm,实质回声均匀。抽血查T_3 4.7 ng/ml,T_4 235ng/ml TSH(促甲状腺激素)5.9IU/ml。继续给予他巴
Patients, female, 20 years old, afraid of hot sweat, eat more weight loss 1 a, increase 2 d on February 15, 2000 at 17:00 admission. Examination of T 36.7 ℃, P 104 times / min, BP 110/80 mmHg, the general situation can be, prominent signs of thyroid was diffuse Ⅱ ° enlargement, left upper pole can smell vascular murmur. Heart rate 104 beats / min, law Qi, no noise, tongue, hands tremor (+), diagnosed as “hyperthyroidism.” Methmazole oral methimazole also known as methimazole, metoprolol, also known as metoprolol Metoprolol, efficacy was acceptable during the Spring Festival about 4d withdrawal after their own, the above symptoms worsened. The day of admission to check the blood as normal. B ultrasound showed the right thyroid 50 × 26 × 28 mm ~ 3, left thyroid 58 × 26 × 31 mm ~ 3, isthmus thickness 10 mm, the real echo uniform. Blood tests T_3 4.7 ng / ml, T_4 235 ng / ml TSH (thyrotropin) 5.9 IU / ml. Continue to give him Pakistani