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患者男,25岁,未婚,住院号172567。近5年来身材逐渐矮小,行走不便,肢体肌肉疼痛,多饮、多尿。尿液呈碱性,尿糖(+),尿蛋白(+),低血磷,低血钾、血液酸中毒,X线检查全身普遍骨质疏松,骨骺愈合延迟。于1985年诊断为Fanconi综合征。近一年来患者出现多汗、心悸、手颤、纳亢等症状,血清T_3、T_4增高,基础代谢率45%,~(131)Ⅰ摄取率3小时60%、24小时78%,诊断为甲亢收住院治疗。无服特殊药物史,家族中无类似患者。
Patient Male, 25 years old, single, hospital number 172567. Over the past 5 years, the body gradually dwarfed, walking inconvenience, limb muscle pain, drink more, more urine. Urine was alkaline, urine sugar (+), urinary protein (+), hypophosphatemia, hypokalemia, blood acidosis, X-ray general system osteoporosis, delayed epiphyseal healing. In 1985, diagnosed as Fanconi syndrome. In the past year, patients had hyperhidrosis, palpitations, hand tremor and hypersensitivity. Serum T_3 and T_4 increased, the basal metabolic rate was 45%, the rate of 131I uptake was 3 hours and 60%, and 24 hours and 78% Receive hospital treatment. No special drug history, no similar family in patients.