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患者 女,34岁。因心悸、多食、乏力、消瘦3年,牙龈出血、鼻衄1年于1991年11月8日入院。3年前出现心悸、乏力、怕热、多食,曾在外院诊为“甲亢”。近1年间断鼻衄、牙龈出血、经血过多及皮肤紫癜。查体;体温37.1℃,血压16/9kPa。胸部及双下肢皮肤可见散在紫癜。双眼球略突出,甲状腺Ⅱ度肿大,无震颤及血管杂音。心率120次,律齐,心尖部可闻Ⅱ级收缩期吹风样杂音。肝脾未触及。双手平伸轻微震颤。
Female patient, 34 years old. Due to heart palpitations, eat more, fatigue, weight loss 3 years, bleeding gums, epistaxis 1 year in November 8, 1991 admitted. 3 years ago palpitations, fatigue, fear of heat, eat more, was diagnosed in the hospital as “hyperthyroidism.” Nearly a year of broken nose, bleeding gums, excessive blood and skin purpura. Physical examination; body temperature 37.1 ℃, blood pressure 16 / 9kPa. Chest and lower extremity skin visible purpura. Eyes slightly protruding, enlarged thyroid Ⅱ degree, no tremor and vascular murmur. Heart rate 120 times, law Qi, apex symphysis can be heard blowing-like noise. Liver and spleen not touched. Stretch with both hands tremble slightly.