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患儿:女,13岁。因发热、咳嗽,进行性颈项增粗半年余,于1983年8月19日入院。入院前半年发现颈部增粗,无怕热、多汗、激动等代谢率增高表现。当地医院检查T_30.9ng/ml(正常值1.0～2.28ng/ml),T_47μg%(正常值3.6～14μg%)。诊断为甲状腺肿大。服中药及海带无效,甲状腺继续增大,出现心悸、呼吸困难、面色发绀。3个月前去上海就诊,诊断为“弥漫性甲状腺肿大”。给予吸O_2、输液、地塞来松、卢戈氏
Children: Female, 13 years old. Due to fever, cough, progressive neck thickening more than six months, in 1983 August 19 admission. Half a year before admission found that the neck thickening, no fear of heat, sweating, agitation and other metabolic rates increased performance. Local hospital examination T_30.9ng / ml (normal 1.0 ~ 2.28ng / ml), T_47μg% (normal 3.6 ~ 14μg%). Diagnosis of goiter. Serve traditional Chinese medicine and kelp ineffective, the thyroid continue to increase, palpitations, difficulty breathing, looking cyanotic. 3 months ago to Shanghai for treatment, diagnosed as “diffuse thyroid enlargement.” Give inhalation O_2, infusion, to plug the pine, Lugos’s