甲状腺机能亢进症是临床常见的内分泌疾病,依病因不同可分以下几种临床类型: 一、弥漫性甲状腺肿甲亢即Graves病或Basedow氏病,常见,约占全部甲亢病人的88％,近来认为本病为一种自家免疫受体病。典型患者有以下三组症群: (一)甲状腺激素过多所致交感神经兴奋性增高及高代谢率的表现: 1.持续心率增快,尤其睡眠时亦快,为甲亢特征,增快程度与代谢率成正比,且常早期出现,而不易被一般药物缓解。 2.怕热不分冬夏,不怕冷,常有持续低热,体温不超过38℃。 3.多汗,皮肤潮湿,胸腹尤其明显而不是局限于手心。 4.食欲亢进显著,而体重下降,乏力。 5.易激动、兴奋,手舌细微而快速震颤。 6.大便次数增多,稀糊状。 7.血压收缩压升高,舒张压正常或略低。部分病人可有心律失常。 (二)两侧甲状腺多呈轻至中等度弥漫性肿大,质软而韧,表面光滑,无结节。于甲状腺上、下动脉部 Hyperthyroidism is a common clinical endocrine disease, depending on the cause can be divided into the following clinical types: First, diffuse goiter hyperthyroidism that is Graves disease or Basedow’s disease, common, accounting for about 88% of all hyperthyroidism patients, recently that The disease is a home immune receptor disease. Typical patients have the following three groups syndrome group: (a) increased thyroid hormone induced by increased sympathetic activity and high metabolic rate of performance: 1. sustained heart rate increased, especially when sleeping fast, hyperthyroidism characteristics, increased And metabolic rate is proportional to, and often appear early, and not easy to alleviate the general drug. 2. Afraid of hot regardless of winter and summer, not afraid of cold, often persistent fever, body temperature does not exceed 38 ℃. 3, sweating, moist skin, especially the chest and abdomen rather than confined to the palm of your hand. 4. Appetite hyperthyroidism significantly, while weight loss, fatigue. 5 easy to excited, excited, subtle and quick tremor. 6. stool frequency increased, thin paste. 7. Blood pressure systolic blood pressure, diastolic blood pressure normal or slightly lower. Some patients may have arrhythmia. (B) on both sides of the thyroid showed mild to moderate diffuse enlargement, soft and tough, smooth surface, no nodules. In the thyroid, the lower part of the artery