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报告1例临床未怀疑甲亢的患者,在常规肺通气-灌注显像过程中,发现甲状腺有异常放射性浓聚而获得诊断.患者男性,49岁,由于右下腹疼痛伴有发烧,恶心,呕吐2天到急诊室就诊.体检:T39.1℃,P106～120次/分,脉不齐,R26次/分,Bp140/80(18.67/10.67kPa),肋脊角,右下腹肌紧张,有局限性腹膜刺激征.实验室检查除WBC15.9×10~9L~(-1),其余正常.动脉血气分析: PO_2为6.9kPa,PCO_2为3.6kPa,pH7.52,胸部X线片正常.患者呈轻度缺氧,低碳酸血症及心房纤颤,考虑有肺栓塞,做了肺通气-灌注扫描显示正常,但发现甲状腺肿大放射性增强.而胃、肾和脑未见放射性.手术发现阑
Reported a case of clinical suspicion of hyperthyroidism in patients with conventional lung ventilation - perfusion imaging, the thyroid found abnormal radioactive accumulation and diagnosis.Patients male, 49 years old, due to the right lower quadrant pain accompanied by fever, nausea, vomiting 2 Day to the emergency room .Physiological examination: T39.1 ℃, P106 ~ 120 beats / min, irregular pulse, R26 beats / min, Bp140 / 80 (18.67 / 10.67kPa), rib ridge angle, right lower quadrant muscle tension, limited Peritoneal irritation.Experimental examination except WBC15.9 × 10 ~ 9L ~ (-1), the rest of the normal.Arterial blood gas analysis: PO_2 6.9kPa, PCO_2 3.6kPa, pH7.52, chest X-ray was normal. Patients Was mild hypoxemia, hypocapnia and atrial fibrillation, consider pulmonary embolism, done pulmonary ventilation - perfusion scan showed normal, but found that goiter increased radioactivity, while the stomach, kidney and brain no radioactivity found. Lan