患者为严重的淡漠型甲状腺毒症,呕吐为其突出症状。作者对甲状腺毒症性呕吐的机理提出了不同的设想。对甲状腺毒症的呕吐众所周知,但本症并非常见现象,呕吐的机理是由于甲状腺素对化学感受器区激发带(trigger zone)的直接作用。 患者43岁,砌砖工人,饭后即出现不费力的反胃呕吐,已4周。4周以来体重减少19公斤以上,此期间全腹痛、便秘、嗜睡并感乏力。 Patients with severe indolent thyrotoxicosis, vomiting as its prominent symptoms. The authors put forward different ideas about the mechanism of thyrotoxic vomiting. The vomiting of thyrotoxicosis is well known, but this disorder is not uncommon and the mechanism of vomiting is due to the direct effect of thyroxine on the trigger zone of the chemoreceptor. 43-year-old patient, bricklayer, appearing strenuous nausea and vomiting after meals, 4 weeks. 4 weeks weight loss 19 kg or more during this period full of abdominal pain, constipation, drowsiness and flu.