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患者男,42岁,于1998年3月收住我院。始于1996年3月出现心悸、怕热、多汗、多食、体重下降。1996年10月双眼胀痛、眼球突出、畏光、流泪。查血T_3、T_4、TSH后诊断“甲亢”,予丙基硫氧嘧啶300mg/日治疗,1997年2月查甲功正常后丙基硫氧嘧啶逐渐减量,至入院前多次复查甲功均正常。1997年3月因双眼突出无改善,加用强的松40mg/日及氨体舒通、左旋咪唑、甲状腺片。1997年5月强的松用量增至60mg/日,1997年6月辅以中药治疗。1998年1月出现复视,1998年2月强的松用量增至80mg/日直至入院。入院查体:库欣外观,双眼突出,左21mm、右24mm、眼距103cm,左眼上转固定于内上象,球结膜充血,双眼左、右方向均复视。甲状腺
Male patient, 42 years old, was admitted to our hospital in March 1998. Starting in March 1996 palpitations, fear of heat, sweating, eat more, weight loss. October 1996 binocular pain, prominent eyes, photophobia, tearing. T_3, T_4, TSH after the diagnosis of “hyperthyroidism” to propylthiouracil 300mg / day treatment, check in February 1997 after normal propylthiouracil tapering, to the hospital a number of times before the review of A Gong All normal. March 1997 due to no prominent eyes, plus prednisone 40mg / day and ammonia Shu Tong, levamisole, thyroid tablets. May 1997 prednisone dosage increased to 60mg / day, June 1997 supplemented by traditional Chinese medicine treatment. Diphtheria appeared in January 1998, the amount of prednisone in February 1998 increased to 80mg / day until admission. Admission examination: Cushing appearance, prominent eyes, left 21mm, right 24mm, ocular distance 103cm, left eye turn fixed in the inside as the conjunctival hyperemia, both eyes left and right diplopia. thyroid