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卵巢甲状腺肿较为少见,从本世纪60年代至今,国内杂志报道仅10余例,合并甲亢者更为罕见,我科于1989年发现1例,现报道如下: 王××,女,20岁,1989年11月4日入院,病志号4945。该患于8年前即出现怕热,多汗,消瘦,易怒,自觉下腹部比同龄人饱满,到当地医院就诊,确诊为“甲亢”,间断服用他巴唑10mg3每日3次,约1年余再未就医,自行停药。后一直坚持上学及上班工作。2年前自觉腹部逐渐膨胀,尤其近1年来增长迅速,故前来我院妇科就诊,经B超检查为“巨大卵巢囊肿”。经化验T_3、T_4明显高于正常,考虑为甲亢。当时查体心率快、多汗、手抖、限征(+),因T_3、T_4值较高,暂不能手术,故转入我科治疗,查体;病人呈消瘦体质,身高150cm,体重44kg(包括囊肿),BP16/12kPa,心率120次/分,全
Ovarian goiter is relatively rare, from the 60s of this century so far, only more than 10 cases reported in domestic magazines, combined with hyperthyroidism are more rare, our department found in 1989, 1 cases are reported as follows: Wang × ×, female, 20 years old, November 4, 1989 admission, disease index number 4945. 8 years ago, the patient developed fever, sweating, weight loss and irritability. She was consciously full in her lower abdomen than her peers and was diagnosed with “hyperthyroidism.” She stopped taking 10 mg of methimazole three times a day, One year I have not yet medical treatment, their own withdrawal. Has always insisted on going to school and work. Conscious abdominal 2 years ago gradually expanded, especially in the rapid growth over the past year, it came to our hospital gynecology, the B-ultrasound as a “huge ovarian cyst.” The test T_3, T_4 was significantly higher than normal, considered hyperthyroidism. At that time, physical examination was fast heart rate, sweating, trembling, limited sign (+), due to T_3, T_4 value higher, temporarily not surgery, it transferred to our department treatment, physical examination; patient showed weight loss, height 150cm, weight 44kg (Including cysts), BP16 / 12kPa, heart rate 120 beats / min, whole