论文部分内容阅读
患者王某,女,30岁,护士,住院号178632。近一年多来常感心悸,性情急躁,失眠,易疲乏,食欲增加,大便次数增多。吸碘率;3小时86%,24小时84.4%。诊断为甲状腺功能亢进(甲亢)。服用甲基硫氧嘧啶。半年后,上述症状稍有减轻。复查基础代谢率+37%,T_4 22微克%。继续服用甲基硫氧嘧啶半年,上述症状明显减轻,但渐觉颈部增大。复查基础代谢率+16%。服芦戈氏碘液半月后入院。入院时检查:脉搏80次/分左右。双眼球稍突出。甲状腺体积明显增大,但外观左叶明显大于右叶,扪之质地均匀无结节。右侧在甲状腺后方可清楚扪及气管,并可将甲状腺向左侧推动,无震颤及杂音。术中见左叶甲状腺明显增大,体积约6厘米×5厘米×4厘米,其基底部全部在气管左侧。术前检查之右叶甲状腺实为左叶向右侧的延
Patient Wang, female, 30 years old, nurse, hospital number 178632. Over the past year or so, I have often felt guilty, irritable temperament, insomnia, fatigue, increased appetite, and increased stool frequency. Iodine absorption rate; 86% for 3 hours and 84.4% for 24 hours. Diagnosis is hyperthyroidism (hyperthyroidism). Taking methyl thiouracil. Six months later, the above symptoms were slightly alleviated. Review basal metabolic rate +37%, T_4 22 micrograms%. After taking methylthiouracil for half a year, the above symptoms were significantly reduced, but the neck gradually increased. Review basal metabolic rate +16%. After taking Rugo’s iodine solution, she was admitted to the hospital half a month later. Check on admission: The pulse is about 80 beats/minute. Eyeballs are slightly protruding. Thyroid volume increased significantly, but the appearance of the left lobe was significantly larger than the right lobe, and the texture of the palate was uniform and no nodules. On the right side, the trachea can be clearly seen behind the thyroid, and the thyroid can be pushed to the left without tremors and murmurs. During the operation, the thyroid gland in the left lobe was obviously enlarged. The volume was about 6 cm x 5 cm x 4 cm. The base of the thyroid gland was all on the left side of the trachea. Preoperative examination of the right thyroid gland is actually the extension of the left lobe to the right