患者男,58岁,1995年5月因甲亢行甲状腺次全切除术。术后出现窦性心动过缓、乏力、怕冷、体重逐渐增加。测定基础代谢率减低,曾诊断为甲减。本次入院前一周洗澡受凉后,出现明显嗜睡,极度乏力,全身肿胀明显加重,气急、胸闷。入院查体:虚肿貌,面部、四肢皮肤肥厚、枯干、肿胀,压按无凹陷痕迹,舌体肥厚。病人因平卧位气憋而昼夜迫于坐位。嗜睡,唤醒能正 Male patient, 58 years old, in May 1995 due to hyperthyroidism subtotal thyroidectomy. Postoperative sinus bradycardia, fatigue, cold, weight gradually increased. Determination of basal metabolic rate decreased, had been diagnosed as hypothyroidism. A week before the admission bathing after a cold, there was significant drowsiness, extreme fatigue, systemic swelling was significantly aggravated, shortness of breath, chest tightness. Admission examination: virtual appearance, facial, limbs, skin hypertrophy, withered, swollen, pressed without depression marks, tongue hypertrophy. The patient was forced to sit by day and night because of the supine position. Sleepiness, awakening can be positive