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患者赵××,女,42岁。住院号:244779。于1971年诊断 Graves 氏病,1972年服~(131)I259MBq(7.0mci)。1982年底颜面出现浮肿,畏寒、乏力、记忆力减退。1983年初出现阵发性心动过速,间隔1～2周发作一次。初始发作持续几分钟,以后发作持续时间渐渐增长,至入院前几个月发作持续约一小时左右。服心得安、心律平、异搏定不能预防发作。于1990年10月门诊以甲低入院。查体:体温36℃,脉搏70次/分,血压14.5/8kPa,神清,甲低面容,口齿不利,皮肤苍白,粗糙,甲状腺未触及,无触痛,未闻血管杂音,双肺(一),心界不大,心尖搏动微弱,心率70次/分,律齐,心音遥远,腹软,无移动性浊音,肝、脾肋下未触及,四肢有轻度水肿,非凹陷性,闭目双手平伸无震颤。
Zhao × × patients, female, 42 years old. Hospital number: 244779. Graves’ disease was diagnosed in 1971 and ~ 131 I259 MBq (7.0 mci) in 1972. The end of 1982 facial swelling, chills, fatigue, memory loss. Paroxysmal tachycardia occurred in early 1983, an interval of 1 to 2 weeks episode. The initial episode lasts for a few minutes, and the duration of the episode increases gradually until the onset of the episode lasts about an hour before admission. Served peace of mind, heart rate Ping, Verapamil can not prevent the attack. In October 1990 outpatient admission to a hypothyroidism. Examination: body temperature 36 ℃, pulse 70 beats / min, blood pressure 14.5 / 8kPa, Shen Qing, A low face, bad teeth, pale skin, rough, thyroid not touched, no tenderness, ), The heart is not big, apical beating weakness, heart rate 70 beats / min, law Qi, distant heart sounds, abdominal soft, no mobility dullness, liver, spleen ribs untouched, limbs mild edema, non-depression, closed His hands flat stretch without tremor.