患者赵××,女性,35岁,工人,住院号179656。因双侧甲状腺肿大4年伴心悸,多食易饥,多汗,体重减轻,性情急躁,诊断为原发性甲亢。发病后曾在门诊不规则服抗甲状腺药物,症状时好时发,近来因上述症状加剧,拟作甲状腺切除术入本院外科。体查,患者体质消瘦,双眼球外突,双手水平震颤,巩膜、皮肤无黄染,颈静脉无怒张。双侧甲状腺中等度肿大,质软,无结节状,边界清,可随吞咽动作上下移动,局部可闻血管杂音。心率90次/分,律整,心尖部SM2°/6°,不传导,两肺无异征。腹平软,肝脾不大。入院时术前检测肝功能谷丙转氨酶,脑磷酯胆固醇絮状试验,麝香草酚浊度试验均正常,乙型肝炎表面抗原(一);周围血象白细胞6,800,中性分叶核61%,淋巴细胞36%,嗜酸性白细胞3%。血红蛋白 Patient Zhao XX, female, 35 years old, worker, hospital number 179656. Due to bilateral goiter four years with palpitations, eat more easily hungry, sweating, weight loss, impatient, diagnosed as primary hyperthyroidism. After the onset of irregular service in the outpatient anti-thyroid drugs, when the symptoms are good, recently due to the above symptoms worsened to be thyroidectomy surgery hospital. Physical examination, patients with physical emaciation, his eyes outside the ball, his hands tremor level, sclera, no yellow skin, jugular vein without tension. Bilateral thyroid moderate enlargement, soft, non-nodular, border clear, up and down with swallowing movements, local audible vascular murmur. Heart rate 90 beats / min, law, apex SM2 ° / 6 °, no conduction, no difference between the two lungs. Abdomen soft, not large liver and spleen. Preoperative liver function tests of alanine aminotransferase, brain phospholipid cholesterol flocculus test, thymol turbidity test were normal, hepatitis B surface antigen (a); peripheral blood leukocytes 6,800, neutral leaf core 61% 36% of lymphocytes, 3% of eosinophils. Hemoglobin