论文部分内容阅读
68岁的王老师患冠心病已有7～8年历史了,病情一直比较平稳。最近校医陪王老师来看病,使我吃惊不小。他神情淡漠,体重掉了20多公斤;自述厌食,什么东西都不想吃。校医说,他的心律失常难以控制,有心房纤颤。我给王老师开了心电、B超等特殊检查和系列实验室检查单,结果证实,王老师T_3、T_4明显增高,表明他患有较重的甲状腺机能亢进症(甲亢)。校医提出疑问:甲亢应该代谢旺盛,食欲亢进,可他却厌食;也没有兴奋、多汗、怕热的症状,反而淡漠、忧郁;他的房颤控制后,心率并
68-year-old Wang suffering from coronary heart disease has been 7 to 8 years of history, the condition has been relatively stable. Recent school doctor accompany Wang to see a doctor, so I was shocked. He looked indifferent, lost more than 20 kg weight; read anorexia, what do not want to eat. School physician said his arrhythmia is difficult to control, with atrial fibrillation. I gave Wang a heartbeat, B super special inspection and a series of laboratory tests, the results confirmed that Wang T_3, T_4 was significantly higher, indicating that he has a heavier hyperthyroidism (hyperthyroidism). School doctor questioned: hyperthyroidism should be strong metabolism, hyperactive appetite, but he is anorexia; nor excited, sweating, afraid of the symptoms of heat, but indifferent, melancholy; his atrial fibrillation control, heart rate and