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病人男,53岁。9年前诊断为原发性甲状腺功能尤进症(甲亢),长期口服他巴唑、心得安等药物,症状一度减轻中,自行减量服药。1年前病情再次加重,于外院行~(131)I治疗,症状无改善,1个月前因上腹痛、双下肢痛就诊于外院,诊断为原发性甲状腺功能亢进症、甲亢性心脏病、心功能3级、房颤、甲亢所致精神障碍,治疗后病情有所好转,为进一步治疗于2007年8月而入我院。入院查体:体温36℃,脉搏128次/min,呼吸18次/min,血压120/70mmHg,消瘦,
The patient is male, 53 years old. 9 years ago diagnosed as primary thyroid dysfunction (hyperthyroidism), long-term oral methimazole, propranolol and other drugs, once the symptoms were relieved, self-weight medication. A year ago, the condition was aggravated again. In the outside hospital line ~ (131) I treatment, the symptoms did not improve. One month ago, she was diagnosed with primary hypothyroidism and hyperthyroidism due to upper abdominal pain and double lower extremity pain. , Heart function 3, atrial fibrillation, mental disorders caused by hyperthyroidism, after treatment, the condition has improved, for further treatment in August 2007 and into our hospital. Admission examination: body temperature 36 ℃, pulse 128 times / min, breathing 18 times / min, blood pressure 120 / 70mmHg, weight loss,