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近几年来,我们收治了不典型甲亢23例,现小结如下。 一般资料:本组23例,女15冽,男8例。以心律失常为主要表现15例,其中频发室早8例,快速房颤4例,窦速伴左室肥厚劳损2例,快～慢交替症1例。以周期性麻痹为首发症状4例。顽固性腹泻为表现3例。以双眼睑浮肿为首发症状1例。 典型病例 例一:男性38岁。以反复胸闷、心悸头晕等症状多次就诊,就诊时心电图有时呈窦性心动过速,心率达140次/分,有时呈窦性心动过缓,心率为40次/分左右。给以对症处理,未见好转。体检:眼征(一),甲状腺无肿大,无血管性杂音,
In recent years, we admitted 23 cases of atypical hyperthyroidism, are summarized as follows. General information: The group of 23 cases, 15 female, male 8 cases. Arrhythmia as the main performance in 15 cases, of which 8 cases of early as frequent as room, fast atrial fibrillation in 4 cases, sinus speed with left ventricular hypertrophy strain in 2 cases, fast ~ slow alternation in 1 case. Cyclical paralysis as the first symptom in 4 cases. Refractory diarrhea as the performance of 3 cases. Eyelid edema as the first symptom in 1 case. A typical case of a case: male 38 years old. To repeated chest tightness, palpitations dizziness and other symptoms multiple visits, the ECG was sometimes showed sinus tachycardia, heart rate 140 beats / min, and sometimes showed sinus bradycardia, heart rate 40 beats / min or so. Give symptomatic treatment, did not improve. Physical examination: Eye sign (a), no swelling of the thyroid, no vascular murmur,