论文部分内容阅读
患者女性,37a,因心悸、出汗、多食、进行性消瘦2a,加重1mo于1990年9月29日入院。既往体健,无糖尿病及低血糖史。经查体和实验室检查,诊断为甲状腺功能亢进。给口服甲巯咪唑(他巴唑)10mg,tid;甲状腺片40mg,qd;普萘洛尔20mg,tid。d4(第4天)患者上午七时早餐进食油条100g,小米稀饭400mL后,于上午八时半突感头晕、焦虑不安、饥饿感、心慌、面色苍白、出冷汗、周身软弱无力、双手颤抖、无意识障碍。当时测血压17.3/10.7kPa;
Patients female, 37a, due to heart palpitations, sweating, eating more, progressive weight loss 2a, aggravating 1mo admission September 29, 1990. Past physical health, no history of diabetes and hypoglycemia. The physical examination and laboratory tests, diagnosis of hyperthyroidism. To oral methimazole (methimazole) 10mg, tid; thyroid tablets 40mg, qd; propranolol 20mg, tid. At d4 (day 4), the patient was challenged with 100g of fried dough sticks and 400mL of millet porridge at 7am. Suddenly dizziness, anxiety, hunger, palpitation, paleness, cold sweat, weakness, trembling hands, Unconsciousness At that time, blood pressure was measured at 17.3 / 10.7kPa;