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病历摘要患者,女性,55岁,住院号:45199。因咽痛、发冷、发热、咳嗽、尿痛、尿频3天,于1989年8月3日入院。该患在入院前20天,因心悸、多汗、乏力,去医院检查:血、尿常规正常,唯基础代谢率及T_3、T_4增高,诊断为甲亢,口服他巴唑,每次2片(10mg),1日3次,服用两周后,逐渐出现咽部疼痛,发冷发热,体温达39.5℃,咳嗽,尿痛、尿急等全身感染症状。遂来本院门诊,即以“粒细胞减少症,甲亢危象”收住院。入院查体:T39,P102,R26,Bp10/2。表情痛苦,呈急性热病容,眼球略突出,闪光。咽部充血,有白色脓泡及脓苔,舌根部两侧可见灰白色隆起,扁桃体轻度肿大,甲状腺
Patient history, female, 55 years old, hospital number 45199. Due to sore throat, chills, fever, cough, dysuria, frequent urination for 3 days, admitted to hospital on August 3, 1989. The patient 20 days before admission due to heart palpitations, sweating, fatigue, go to the hospital for examination: blood, urine normal, basal metabolic rate and T_3, T_4 increased diagnosis of hyperthyroidism, oral methimazole, each 2 ( 10mg), on the 1st 3 times, taking two weeks later, gradually pharyngeal pain, chills and fever, body temperature reached 39.5 ℃, cough, dysuria, urgency and other symptoms of systemic infection. Then came to our hospital, that is, “neutropenia, hyperthyroidism crisis” admitted to hospital. Admission examination: T39, P102, R26, Bp10 / 2. Expression pain, was acute fever, eye slightly prominent, flashing. Pharyngeal congestion, with white pus and pus moss, tongue on both sides of the visible gray bulge, tonsil mild enlargement, thyroid