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患者男性,51岁。因四肢抖动3个月,低热多汗,多食消瘦2个月入院。患者发病后1个月曾在我院同位素室作甲状腺~(131)碘摄取率测定,结果异常,疑为甲亢。回家治疗,当地医生给予甲状腺片治疗(每日120毫克,共服20天)。治疗后上述症状明显加剧,并出现四肢乏力,不能行走,大小鱼际肌逐渐萎缩进而出现进食呛咳,体重由130斤减至100斤,由他人挽扶入院。检查:神志清楚,软弱,血压138/84毫米汞柱,两眼球稍外突,辐凑运动减弱,咽充血、
Patient male, 51 years old. Due to limbs shake 3 months, low heat sweating, eat thin two months admission. Patients 1 month after onset in our hospital isotope room for thyroid ~ (131) iodine uptake rate, the result was abnormal, suspected hyperthyroidism. Go home treatment, local doctors give thyroid tablets (120 mg daily for a total of 20 days). After treatment, the above symptoms were exacerbated, and limb weakness, can not walk, the size of the suboccipitus muscle gradually shrinking and then eat cough, weight reduced from 130 pounds to 100 pounds, help others by the help of admission. Check: Conscious, weak, blood pressure 138/84 mm Hg, the two ball slightly protruding, weakened convergence movement, pharyngeal congestion,