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患者女性,34岁,农民,住院号35256,因颈前肿大伴多食多汗三年入院。患者三年来自觉颈前肿大,饭量增多而身体逐渐消瘦乏力,稍微用力即觉心悸,平时天气稍热即有大汗,睡眠较差,易惊醒,也爱发脾气,但无多饮多尿史。发育尚可,营养欠佳,情绪激动,P84,BP122/84mmHg,双眼微突,闭合良好,无其它眼征,甲状腺轻度肿大,右侧明显,无结节,无震颤,无杂音,颈部淋巴结未扪及,心肺腹部未见异常,伸手无细颤。心电图正常,BMR+32%,临床诊断甲状腺机能亢进。经硫氧嘧啶、卢戈
Female patient, 34 years old, farmer, hospital number 35256, admitted to hospital because of swollen anterior cervical neck with hyperphagia. Three years ago, the patient was swollen from the front of the neck, and her appetite increased. The body gradually became thin and weak. She felt it with a little effort. She usually had severe sweating during the hot weather. She had poor sleep, was easily awakened, and she liked to lose her temper, but she did not drink too much. history. Fair development, poor nutrition, emotional, P84, BP122/84mmHg, eyes slightly projected, closed well, no other eye signs, mild thyroid enlargement, right side, no nodules, no tremor, no noise, neck No lymph nodes were found and no abnormalities were found in the heart and lungs. Electrocardiogram is normal, BMR +32%, clinical diagnosis of hyperthyroidism. Via thiouracil, Lugo