病例摘要女,52岁.15年来反复浮肿、头晕、乏力、喜热怕冷、懒言、便秘、脱发、经常疲劳、气候寒冷时加重.多年来按“慢性肾炎”治疗,间断服用中草药均未能奏效.近一周前上述症状加重伴不思饮食、偶有恶心、呕吐、轻度腹胀、卧床不起,逐渐呼之不应,于1987年4月17日入院.既往无高血压病史及甲状腺手术史.曾孕三胎、顺产,月经史不详.体检:体温 35.4℃,脉搏60,呼吸15,血压15.7/10.8kPa,意识不清,面部虚肿,头发稀疏,眉毛、腋毛、阴毛脱落,两侧瞳孔3 mm,对光反射迟钝,颈无抵抗,心界不大,心音钝,心率60,心律齐,胸部可闻及痰鸣音,腹软,肝脾未触及,四肢肌张力减弱,膝反射减弱,未引出病 Cases Abstract Female, 52 years old. Repeated edema, dizziness, fatigue, hi fever, constipation, hair loss, fatigue, climate aggravate when over 15 years. According to “chronic nephritis” treatment over the years, intermittent use of Chinese herbal medicine did not Can be effective.About a week ago, the above symptoms aggravated with unscrupulous diet, occasional nausea, vomiting, mild abdominal distension, bedridden, and gradually call should not be, was admitted to hospital on April 17, 1987. In the past without a history of hypertension and thyroid Physical examination: body temperature 35.4 ℃, pulse 60, breathing 15, blood pressure 15.7 / 10.8kPa, unconsciousness, facial swelling, sparse hair, eyebrows, armpit hair, pubic hair off, Both sides of the pupil 3 mm, slow light reflex, neck non-resistance, heart, blunt heart, heart rate 60, rhythm Qi, the chest can be heard and phlegm, abdominal soft, liver and spleen not touched, weakening of limb muscle tension, Knee reflex decreased, did not lead to disease