雷×,女,62岁,农民。因长期噁心、呕吐、厌食、消瘦、贫血,于1984年1月12日诊断为慢性胃炎收住院,患者失去劳动力已十多年,曾到各医院先后诊断为贫血、溃疡病、癔病、神经官能症等。体查:体温35℃,呼吸26次,脉搏76次,血压85/50毫米汞柱。表情淡漠,恶液质,皮肤干燥,巩膜无黄染,肺呼吸音稍粗,心音低钝,律整,肝脾未触及,上腹剑突下无压痛,下肢轻度浮肿。化验:白细胞5,600,红细胞240万,血红蛋白8克,大小便无异常。谷丙转氨酶100单位以下,血清总蛋白5克%,空腹血糖80毫克%。X线胃肠钡餐检查未发现病变。心电图:窦性心律,各导程T波低平,结合病人十分怕冷,初 Ray ×, female, 62 years old, farmer. Due to chronic nausea, vomiting, anorexia, weight loss, anemia, diagnosed as chronic gastritis on January 12, 1984 admitted to the hospital, the patient lost labor for more than 10 years, have been to the hospital has diagnosed as anemia, ulcer disease, hysteria, neurosis Disease and so on. Physical examination: body temperature 35 ℃, breathing 26 times, pulse 76 times, blood pressure 85/50 mm Hg. Expression of indifference, cachexia, dry skin, sclera no yellow dye, lung breath sounds a little thick, low heart sound blunt, law, liver and spleen not touched, no tenderness under the xiphoid, lower extremity mild edema. Laboratory: white blood cells 5,600, 2.3 million red blood cells, hemoglobin 8 grams, no abnormal urine. Alanine aminotransferase 100 units or less, serum total protein 5%, fasting blood glucose 80 mg%. X-ray gastrointestinal barium meal examination found no lesions. Electrocardiogram: sinus rhythm, T-wave low level of the lead, with the patient is very cold, early