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文献报道2～20％的甲亢患者可发生第1度心脏传导阻滞,并发2度与3度者则罕见。近收治1例35岁女性患者,因乏力胸痛心悸与6月内体重减轻25kg而入院。16岁时患风湿热,但从未有心脏异常。于2年前因软弱、肥胖、反射迟钝、T_4 4.0μg％,而诊断为甲减,开始用甲状腺浸胶120mg/日治疗,在此次入院前6月甲状腺浸胶的维持量为240mg/日,后因出现焦虑而减为150mg/日。住院时体温37.8℃,血压150/90mmHg,心率78次/分,心律不规则,呈现不安,四肢及舌头微细震颤,双眼凝视,无突眼,皮
Reported in the literature 2 ~ 20% of patients with hyperthyroidism can occur in the first degree of heart block, with 2 degrees and 3 degrees are rare. A nearly 35-year-old female patient admitted to hospital due to fatigue chest pain and heart palpitations and weight loss 25kg in June and admission. 16 years old suffering from rheumatic fever, but never had an abnormal heart. 2 years ago due to weakness, obesity, delayed reflex, T_4 4.0μg%, and the diagnosis of hypothyroidism, began to use thyroid dipped 120mg / day treatment, in this pre-admission 6 months thyroid gland maintenance dose of 240mg / day , Due to anxiety and reduced to 150mg / day. Hospitalized body temperature 37.8 ℃, blood pressure 150 / 90mmHg, heart rate 78 beats / min, irregular heartbeat, showing unease, fine limbs and tongue tremor, binocular gaze, no exophthalmos, skin