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例1,女,21岁。1986年1月无诱因出现头发脱落,渐出现斑秃,经各种治疗疗效不佳。因眉毛、睫毛脱落,伴心悸、乏力、多食、颈部肿大半年,于1987年2月来院检查。体检:面潮红,头发已全秃,头皮光亮清洁,眉毛、睫毛稀少。眼球稍突,甲状腺Ⅱ°肿大,质软,有血管杂音。心率106次/分,律齐。双手震颤,余无异常。实验室检查:TT_3 3.19ng/ml(正常0.9—2.2)、TT_4 16.72μg/dl(正常5.7—12)。甲状腺吸~(131)I率24小时为64.7％。ECG示窦性心动过速。诊断:甲状腺机能亢进症。给予服他巴唑30mg/日、
Example 1, female, 21 years old. January 1986 no incentive to hair loss, gradually appeared alopecia areata, after a variety of treatment ineffective. Due to eyebrows, eyelashes off, palpitations, fatigue, eating more than half a year, swollen neck, in February 1987 to the hospital. Physical examination: face flushing, hair has been all bald, scalp bright and clean, eyebrows, eyelashes scarce. A slight protrusion of the eye, thyroid enlargement Ⅱ °, soft, vascular murmur. Heart rate 106 beats / min, law Qi. Hands tremor, I no exception. Laboratory tests: TT_3 3.19ng / ml (normal 0.9-2.2), TT_4 16.72μg / dl (normal 5.7-12). Thyroid suction ~ (131) I rate of 24 hours to 64.7%. ECG showed sinus tachycardia. Diagnosis: Hyperthyroidism. Given service methimazole 30mg / day,