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病史摘要范××,女,34岁,住院号214075。1977年8月6日因甲亢、房颤、心衰入院。主诉心悸、怕热、多汗、消瘦、性情急燥5年,黄疸2月。患者于1972年产后一月余感觉怕热、多汗、纳佳(每餐一斤多)、心悸、下肢颤抖、性情急燥、易激动、大便3～4次/天、消瘦。心动过速症状自1974年起逐渐加重,1974年10月两下肢浮肿,休息后可消退,1976年起下肢浮肿不能自行消退,并逐渐上行至腹部、面部,并出现心悸、气急、尿少、夜间不能平卧,大便次数增多至每天10余次,呈糊状,症状逐步加重,四肢震颤,不能起床,个人生活不能自理(进食、大小便),并觉吞咽困难。同年10月当地医院诊断甲亢,服他巴唑、心得宁10余天自行停药。1977年3月出现两眼球突出,来本院门诊检查吸~(131)I试验,3小时38.9％,6小时41.7％,24小时49.5％,BMR+100％,诊断甲亢,给服7毫居里~(131)I后回原藉休养。1978年5月开始停经,7月起每日午后寒战发热,夜间热退,达一个月,同时出现黄疸、鼻衄,无他处出血,无腹痛,右侧
Summary of medical history Van × ×, female, 34 years old, hospital number 214075. August 6, 1977 due to hyperthyroidism, atrial fibrillation, heart failure admitted. Chief complaint palpitations, afraid of heat, sweating, weight loss, 5-year temperament, jaundice in February. Patients in January 1972 postpartum more than a month I feel afraid of heat, sweating, Najia (more than one pound per meal), palpitations, lower extremities trembling, irritability, irritability, stool 3 to 4 times / day, weight loss. Tachycardia symptoms have gradually increased since 1974, October 1974 two lower extremities edema, rest can be dissipated, since 1976, lower extremity edema can not subside on their own, and gradually up to the abdomen, face and palpitations, shortness of breath, oliguria, Night can not be supine, stool frequency increased to more than 10 times a day, was paste, symptoms gradually aggravated limbs tremor, can not get up, unable to take personal life (eating, urine), and feel swallowing difficulties. In October the same year, local hospitals diagnosed hyperthyroidism, serving methimazole, rather Ning 10 days to stop their own medication. 1977 March appeared two prominent eyes, to our hospital outpatient examination suction ~ (131) I test, 3 hours 38.9%, 6 hours 41.7%, 24 hours 49.5%, BMR + 100%, diagnosis of hyperthyroidism, to serve 7 millis Lane ~ (131) I used to rest after the rest. May 1978 menopause, since July afternoon afternoon chills, fever, night heat, up to a month, at the same time jaundice, epistaxis, no other bleeding, no abdominal pain, the right side