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例1,女,30岁。因心慌、多汗、消瘦一月余,于1981年8月22日住院,患者并有怕热,多食善饥,进行性消瘦,性格急躁等症状。查体:轻度突眼,甲状腺置Ⅱ°肿大,可闻及血管杂音,心率100次,律齐、心尖区可闻及收缩中晚期喀喇音以及Ⅱ～Ⅲ°SM,肺部(一),双手平伸可见细震颤。实验室检查:血T_4 245ng/ml(正常值45～130ng/ml);M型超声心动图示CD段呈吊床样改变,符合甲亢并发二尖瓣脱垂。经他巴唑、甲基硫氧嘧啶等治疗,症状缓解,T_4恢复正常,随访7年未见复发,然心尖部喀喇音仍然存在。
Example 1, female, 30 years old. Due to palpitation, sweating, weight loss more than a month, on August 22, 1981 hospitalized patients with fear of heat, eat good hunger, progressive weight loss, impatient and other symptoms. Examination: mild exophthalmos, thyroid Ⅱ ° enlargement, can be heard and vascular murmur, heart rate 100 times, law Qi, apex area can be heard and contracted mid-late Kara-tone and Ⅱ ~ Ⅲ ° SM, lung ), Fine hand trembling visible tremor. Laboratory tests: blood T_4 245ng / ml (normal 45 ~ 130ng / ml); M-mode echocardiography showed a hammock CD-like changes in line with hyperthyroidism complicated with mitral valve prolapse. By methimazole, methylthiouracil and other treatment, symptoms, T_4 returned to normal, no follow-up of 7 years of recurrence, although the apex Kara-tone still exists.