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病人,女,50岁,农民。1984年确诊为“弥漫性甲状腺肿并甲状腺机能亢进(甲亢)”。治疗1年余,症状消失后停药。1987年甲亢复发并出现四肢乏力,行走困难及发作性抽搐,又用他巴唑及心得安治疗,甲亢症状好转后抽搐发作停止。后听信海带能治甲亢,因而于1988年停服药物,终日食用海带。几个月后出现颈部增粗,心悸、畏热、消瘦乏力。近1个月来四肢乏力明显,不能行走,并又出现发作性全身抽搐伴
Patient, female, 50 years old, farmer. 1984 was diagnosed as “diffuse goiter and hyperthyroidism (hyperthyroidism).” Treatment for more than 1 year, the symptoms disappeared after withdrawal. Hyperthyroidism recurrence in 1987 and limb weakness, walking difficulties and seizures, but also with methimazole and propranolol treatment, hyperthyroidism symptoms improved seizures stop. After hearing the letter kelp can cure hyperthyroidism, which stopped taking the drug in 1988, edible kelp all day long. A few months after the neck thickening, palpitations, Wei Feizhen, weight loss and fatigue. Almost a month to limb weakness obviously, can not walk, and there are episodes of systemic twitch with