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女,20岁.因心悸、多汗、手抖、胃纳亢进、消瘦2年于1992年5月2日入院.既往无咽痛、关节炎病史.体检:T37.3℃,P110次/分,BP18/6kPa.皮肤温暖湿润.眼球轻度突出.甲状腺呈弥漫性Ⅱ度肿大,有细震颤及血管杂音.两肺呼吸音清.心尖搏动在左锁骨中线外0.4cm,弥散而强有力,心界向左扩大,心率110次/分,第一心音亢进,心尖部可闻收缩中晚期喀喇音及Ⅱ级吹风样全收缩期杂音.腹软,肝脾未及.无杵状指、趾.两手平伸可见细颤.周围血管征可疑阳性.实验室检查及其他辅助检查:基础代谢率+82%,甲状腺摄Ⅰ率:
Female, aged 20, admitted to hospital on May 2, 1992 due to heart palpitations, hyperhidrosis, hand tremor, hyperactivity, weight loss 2 years ago, no previous history of sore throat and arthritis Physical examination: T37.3 ℃, P110 beats / min , BP18 / 6kPa. The skin warm and moist .Height of the eye highlighted .Thyroid thyroid was diffuse Ⅱ degree swollen, there are fine tremor and vascular murmur.Two lung breath sounds clear .Apex beat in the left clavicularline 0.4cm, dispersed and powerful , The heart to the left to expand, the heart rate 110 beats / min, the first heart sound hyperthyroidism, apex can smell contraction in the late Kara tone and Ⅱ grade hair-like systolic murmur. Abdominal soft, liver and spleen without. Finger, toe. Hands stretched can be seen trembling. Suspected positive peripheral blood vessels. Laboratory tests and other laboratory examinations: Basal metabolic rate of + 82%, thyroid uptake rate: