论文部分内容阅读
患者女性,25岁。因进行性消瘦伴心悸半年,腹泻3天于1987年4月18日入院。临床诊断:甲状腺机能亢进症,低血钾。体检:T38.2℃、R30次/min、P125次/min、BP128/78mmHg(17.0/10.4kPa),急性病容,发育正常,营养欠佳,神志清,轻度脱水征,甲状腺轻度肿大,可触及震颤,听诊无血管杂音,胸廓正常,两肺呼吸音粗,未闻及干湿性罗音,心界正常、律齐、心音有力、各瓣膜听诊区未闻及病理性杂音。实验室检查:血钾2.8mmol/L、血钠151mmol/L、血钙1.67mmol/L、二氧化碳结合力12.28mmol/L。
Patient female, 25 years old. Due to progressive weight loss with palpitations for six months, three days of diarrhea in April 18, 1987 admission. Clinical diagnosis: Hyperthyroidism, hypokalemia. Physical examination: T38.2 ℃, R30 times / min, P125 times / min, BP128 / 78mmHg (17.0/10.4kPa), acute disease, normal development, poor nutrition, clear consciousness, mild dehydration sign, mild thyroid enlargement , Palpable tremor, auscultation without vocal murmur, normal thorax, two lung breath sounds crude, unheard-of and wet and dry rales, normal heart, law Qi, heart sound and powerful, the valve auscultation area did not smell and pathological murmur. Laboratory tests: serum potassium 2.8mmol / L, serum sodium 151mmol / L, calcium 1.67mmol / L, carbon dioxide binding 12.28mmol / L.