患者,男,39岁。因乏力、心慌、消瘦三个月,加重伴多尿(每日尿量7～10升),阵发双下肢软瘫半个月就诊。尿常规、血糖及脑垂体CT检查均未见异常,初诊为尿崩症。给双氢克尿噻、泮乃近口服及垂体后叶素皮下注射治疗10天无效再来本院就诊。查体:神志清,营养不良,右眼球轻度外凸,甲状腺Ⅰ°肿大。心音清,心律齐,心率112次/分,心尖区有Ⅱ级 Patient, male, 39 years old. Due to fatigue, palpitation, weight loss for three months, increased with polyuria (daily urine output 7 to 10 liters), paroxysmal hallux valgus half a month treatment. Urinary routine, blood glucose and pituitary CT examination showed no abnormalities, first diagnosed as diabetes insipidus. Hydrochlorothiazide to hydrochlorothiazide, Pan is near oral and pituitrin subcutaneous injection therapy for 10 days invalid again to our hospital. Examination: Consciousness, malnutrition, the right eye slightly convex, thyroid Ⅰ ° enlargement. Heart sound clear, heart rate Qi, heart rate 112 beats / min, apical area has Ⅱ level