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例一、卫某,女,45岁。近年来逐渐出现畏寒肢冷,心悸乏力,少语懒言,面色(白光)白,颜面虚肿,毛发脱落,声音低哑,月经失调,于1980年10月20日在济南某医院检查:基础代谢率—35%,甲状腺摄碘-131率呈低平曲线,血蛋白结合碘2微克/100毫升,血浆甲状素T_(4)2微克/100毫升,血三碘甲状腺原氨酸 T_370毫微克/100毫升,心电图呈窦性心动过缓,低电压,T 波倒置,P—R 间期延长。诊为:甲状腺功能低下症,冠心病。予替代治疗,服甲状腺片仅15～30毫克/日量,一周后出现心
Case 1, Wei, female, 45 years old. In recent years, she has gradually developed aversion to cold and coldness, palpitations, weakness, short speechlessness, pale complexion (white light), bloated face, hair loss, low voice and irregular menstruation. She was examined at a hospital in Jinan on October 20, 1980: Basal metabolic rate -35%, thyroid uptake iodine -131 rate showed a low flat curve, blood protein binding iodine 2 micrograms / 100 milliliters, plasma thyrotropin T_(4) 2 micrograms/100 milliliters, blood triiodothyronine T_370 milliliters Micrograms / 100 ml, ECG showed sinus bradycardia, low voltage, T wave inversion, P-R interval prolonged. Diagnosis: hypothyroidism, coronary heart disease. For replacement therapy, taking 15-30 mg/day of thyroid tablets, a week later