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我院自应用抗甲状腺药物及碘剂作术前准备以来,术后甲状腺危象已大为减少。属淡漠型更为少见。1981年遇到一例,报告如下。患者女,29岁。住院号13(?)653。以心慌乏力两年余,发现颈部肿块半年为主诉诊为原发性甲状腺机能亢进症(以下简称甲亢)收住我科.体检:一般情况可,体质消瘦。体温37℃。脉搏112次.血压120/56。眼球突出明显。预前区明显可见突起之肿块,不对称。呈弥漫性。右侧大于左侧,随吞咽上下移动,无触痛。左侧甲状腺上动脉处可闻及血管杂音.两肺正常。心率快。律齐,各辩膜未闻及痛理性杂音。化验及其他检查均正常。经术前准备,于1981年12月8日作双侧甲状腺次全切除术,手术顺利。
Since our hospital antithyroid drugs and iodine for preoperative preparation, postoperative thyroid crisis has been greatly reduced. Indifferent type is more rare. In 1981 encountered a case, the report is as follows. Patient female, 29 years old. Hospital number 13 (?) 653. To more than two years of palpitation fatigue, found six months mainly complained of neck mass complained of primary hyperthyroidism (hereinafter referred to as hyperthyroidism) admitted to our department. Physical examination: the general situation may be, weight loss. Body temperature 37 ℃. Pulse 112. Blood pressure 120/56. Eye prominent. Prominent area is clearly visible bump, asymmetric. Was diffuse. On the right than the left, with swallowing up and down, no tenderness. On the left thyroid artery can smell vascular murmur. Both lungs normal. Fast heart rate. Law Qi, the debate did not hear the film and painful noise. Laboratory and other tests are normal. After preoperative preparation, in December 8, 1981 for bilateral thyroidectomy, the operation was successful.