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作者在本文报告一例严重甲状腺毒症合并肺炎的患者在治疗初期因自发性腱索断裂造成急性二尖瓣返流。 患者49岁,男性,显著的进行性衰弱和嗜睡。心前区无杂音,血压130/80mmHg。除甲状腺功能检查异常外,其余各项检查均正常。总T_417.8μg/dl(正常上限12.2),游离甲状腺素指数26.3(正常上限15.0),~(131)Ⅰ摄取2小时为26％,24小时为69％,均一性摄取增高遍及整个甲状腺。给予丙基硫氧嘧啶治疗,400mg/d。两周后,病人在睡眠中突然发生严重胸痛、发烧、咳嗽和呼吸困难。当
The authors report in this paper that a patient with severe thyrotoxicosis complicated with pneumonia had acute mitral regurgitation due to spontaneous rupture of tendons at the beginning of treatment. The patient, 49 years old, had significant progressive weakness and drowsiness. No noise in precordial area, blood pressure 130 / 80mmHg. In addition to abnormal thyroid function tests, the rest of the tests were normal. Total T_417.8μg / dl (upper limit of normal 12.2), free thyroxine index 26.3 (upper limit of normal 15.0), 26% uptake of 131I for 2 hours and 69% in 24 hours. The increase in homogeneity was found throughout the thyroid gland. Give propylthiouracil treatment, 400mg / d. Two weeks later, the patient suddenly developed severe chest pain, fever, cough, and difficulty breathing during sleep. when