美托洛爾在甲狀腺功能亢進(jìn)危象治療中致嚴(yán)重肝功能損害1例
發(fā)布時(shí)間:2018-03-01 16:05
本文關(guān)鍵詞: 竇性心動(dòng)過(guò)速 肝功能損害 體格檢查 甲亢危象 丙基硫氧嘧啶 血管雜音 肝損害 瓣膜聽(tīng)診區(qū) β受體阻滯劑 丙硫氧嘧啶 出處:《廣東醫(yī)學(xué)》2017年05期 論文類型:期刊論文
【摘要】:正患者,女,26歲,因怕熱、心悸、手抖1月余于2016年7月19日入院;颊1個(gè)月前開(kāi)始出現(xiàn)多食、易饑、怕熱、多汗、心悸、手抖等癥狀,并發(fā)現(xiàn)甲狀腺明顯腫大,曾在外院門診查甲功提示T_3、T_4明顯升高,TSH明顯下降,考慮甲狀腺功能亢進(jìn),未予重視。近來(lái)上述癥狀加重,查心電圖提示竇性心動(dòng)過(guò)速,159次/min而入院。既往2年前有手臂脂肪瘤切除病史。體格檢查:體溫36.1℃,脈搏136次/min,血壓128/84 mmHg,體型
[Abstract]:The patient, 26 years old, was admitted to hospital on July 19th 2016 for fear of heat, palpitations, palpitations and hand tremors. The patient began to suffer from more food, hunger, heat, sweating, palpitations, tremors and other symptoms one month ago, and found that the thyroid gland was obviously enlarged. Having checked the thyroid in the outpatient clinic of the foreign hospital, it was suggested that T3T / T _ 4 obviously increased and the TSH was obviously decreased, and the hyperthyroidism was considered, which was not taken seriously. Recently, the above-mentioned symptoms became more serious. The electrocardiogram showed that sinus tachycardia occurred 159 times / min and was admitted to hospital. There was a history of lipoma resection 2 years ago. Physical examination: body temperature 36.1 鈩,
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