论文部分内容阅读
患者,女,29岁,服务员,因心悸伴头晕一周入院。既往无心脏病史。体检:T:36℃,P120次/分,R20次/分,Bp18/9kPa,神清,双侧甲状腺Ⅰ°肿大,未闻及血管杂音。心浊音界无扩大,HR120次/分,律不整,心尖区可闻及Ⅱ～Ⅲ级收缩期杂音,双下肢无浮肿。心电图示:阵发性室性心动过速,同位素扫描:双侧甲状腺弥漫性肿大。T_3 5.14ng/ml,T_4 270.6ng/ml。诊断:1)
Patient, female, 29 years old, attendant, admitted to hospital with dizziness due to palpitations. No previous history of heart disease. Physical examination: T: 36 ℃, P120 beats / min, R20 beats / min, Bp18 / 9kPa, Shen Qing, bilateral thyroid Ⅰ ° enlargement, no smell and vascular murmur. No expansion of the heart dullness, HR120 beats / min, irregular law, apical area can be heard Ⅱ ~ Ⅲ systolic murmur, no swelling of both lower extremities. ECG shows: paroxysmal ventricular tachycardia, isotope scan: bilateral thyroid diffuse enlargement. T_3 5.14ng / ml, T_4 270.6ng / ml. Diagnosis: 1)