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患者男性,38岁,因双侧甲状腺进行性肿大两年余,于1985年3月21日第三次入院。病人于1983年1月经本院内分泌科确诊为脑垂体瘤并发垂体性甲亢,内科治疗无效,经蝶窦行垂体瘤大部摘除。术后甲亢症状一度明显改善,但T_3值持续高于正常,因白细胞数较低2000～3000/μl(mm~3),未行术后“放疗”及用抗甲状腺药物治疗。去年底开始,甲状腺进行性肿大更为明显,并偶感吞咽受阻和气促。
The patient, male, 38 years old, was admitted for the third time on March 21, 1985 due to progressive bilateral thyroid enlargement for more than two years. The patient was diagnosed with pituitary adenoma with pituitary hyperthyroidism in January 1983 by the Department of Endocrinology, and the medical treatment was ineffective. Most of the transsphenoidal sinus pituitary tumors were removed. After the onset of hyperthyroidism symptoms improved significantly, but the T3 value continued to be higher than normal, because the white blood cell count was lower 2000 ~ 3000/μl (mm ~ 3), did not postoperative “radiotherapy” and treatment with anti-thyroid drugs. Since the end of last year, progressive enlargement of the thyroid gland has become more pronounced and it has been blocked and breathless.