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临床资料 患者男,23岁。诊断甲亢,间断服他巴唑及心得安等药物。1998年8月26日做放射碘治疗,3天后出现高热,咽痛,大便4～5次/日,呈稀糊状。9月1日来我院急诊。查体:体温:39.5℃,心率158次/分,呼吸:30次/分,血压:15/10kpa,急性病容,皮肤温热,潮红,无突眼,咽充血,咽后壁淋巴滤泡增生,甲状腺Ⅲ。弥漫肿大,质软,触痛,可闻及血管杂音,双下颌可及数个肿大,伴明显触痛的淋巴结,第一心音亢进,律齐,其余查体无
Clinical data Patient male, 23 years old. Diagnosis of hyperthyroidism, intermittent methimazole and propranolol and other drugs. August 26, 1998 to do radioactive iodine therapy, 3 days after the high fever, sore throat, stool 4 to 5 times / day, was thin paste. September 1 to our hospital emergency room. Physical examination: body temperature: 39.5 ℃, heart rate 158 beats / min, respiration: 30 beats / min, blood pressure: 15 / 10kpa, acute disease, warm skin, flushing, no exophthalmos, pharyngeal congestion, lymphoid follicular hyperplasia , Thyroid III. Diffuse swollen, soft, tender, can be heard and vascular murmur, double jaw and several swollen, with obvious tenderness of the lymph nodes, the first heart sound hyperthyroidism, Qi Qi, the rest of the physical examination without