患者女,37岁。于1983年3月入院。两年前开始颜面浮肿、心慌、气短、头晕、乏力并头发脱落,一年来双下肢浮肿,持续性右上腹隐痛、腹胀、食欲减退、尿少。当地医院验尿常规阴性,肝功能异常,按“肝炎”保肝治疗无效。近三个月心慌、气促、全身浮肿加重,来院就诊,以心包积液、扩张性心肌病收入院。入院后查体:慢性病容,面色苍白、虚肿,神志清,表情呆滞,言语含糊不清,动作迟缓,头发干燥无光泽,皮肤粗糙、无汗、弹性差,皮温低,口唇厚,舌体肥胖。甲状 Female patient, 37 years old. In March 1983 admitted. Two years ago began to facial edema, palpitation, shortness of breath, dizziness, fatigue and hair loss, a year of lower extremity edema, persistent right upper quadrant pain, bloating, loss of appetite, oliguria. Negative urine tests in local hospitals negative, abnormal liver function, according to “Hepatitis” Liver treatment ineffective. Nearly three months palpitation, shortness of breath, systemic edema aggravated, to the hospital for treatment, pericardial effusion, dilated cardiomyopathy income hospital. After admission, physical examination: chronic disease, pale, emphysema, delirious, dull expression, vague language, slow motion, dry hair dull, rough skin, no sweat, poor elasticity, low skin temperature, thick lips, tongue Body fat. thyroid