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患者,女,46岁。因多食、心悸、颈部增粗7年,双耳听力逐渐下降5年,于1986年8月8日入院。1979年初无明显诱因出现多食、易饥、心悸、乏力、怕热、多汗、心烦、易怒、失眠、多梦等症状,颈部变粗,身体明显消瘦。1981年始觉听力逐渐下降,并随病情加重而加重。既往身体健康,无传染病史,无醇、奎宁、砷或汞等接触史,亦无应用链霉素族及庆大霉素类药物史。检查:体温36.1℃,脉搏110/min,血压20.0/9.3kPa(150/70mmHg)。眼球突出,甲状腺呈
Patient, female, 46 years old. Due to more food, heart palpitations, neck thickening 7 years, binaural hearing decreased gradually 5 years, on August 8, 1986 admitted. Early 1979 there was no obvious incentive to eat more food, easy to hunger, palpitations, fatigue, fear of heat, sweating, upset, irritability, insomnia, dreaminess and other symptoms, neck thickening, body weight loss. Hearing hearing gradually decreased in 1981, and aggravated with aggravating illness. Previous physical health, no history of infectious disease, no alcohol, quinine, arsenic or mercury exposure history, no history of streptomycin and gentamicin drugs. Check: body temperature 36.1 ℃, pulse 110 / min, blood pressure 20.0 / 9.3kPa (150 / 70mmHg). Prominent eye, thyroid was