论文部分内容阅读
患者男,46岁,自1981年初起出现甲亢症状,1984年8月确诊为甲亢。间断服他巴唑及中药治疗,症状未缓解。1986年3月到我院作吸(?)Ⅰ率:3小时60.3%、6小时64.7%。血清总 T_(?)2.98ng/ml(正常0.9～2.2ng/ml)、T_4>32μg/dl(正常5.7～12μg/dl)。血清钠139mEq/L、钾4.4mEq/L。诊为甲亢、甲亢性周期麻痹住院服~(131)Ⅰ治疗。1986年4月16日服~(131)Ⅰ 4.0毫居里,无特殊反应8天出院。于5月7日下午3时左右(即~(131)Ⅰ治疗后21天)出现四肢软弱无力,下肢为重,表现为上床不能,瘫倒在地,被送到我院就诊。给予10%氯化钾30ml/日、他巴唑30mg/日、心得
Male, 46 years old, had hyperthyroidism since early 1981 and was diagnosed with hyperthyroidism in August 1984. Intermittent methimazole and Chinese medicine treatment, the symptoms did not ease. March 1986 to our hospital for suction (?) Ⅰ rate: 60.3% in 3 hours, 64.7% in 6 hours. Serum total T_ (2.98ng / ml (normal 0.9 ~ 2.2ng / ml), T_4> 32μg / dl (normal 5.7 ~ 12μg / dl). Serum sodium 139mEq / L, potassium 4.4mEq / L. The diagnosis of hyperthyroidism, hyperthyroidism cycle paralysis hospitalized ~ (131) Ⅰ treatment. April 16, 1986 service ~ (131) Ⅰ 4.0 millicuries, no special reaction was discharged 8 days. On May 7 at about 3 pm (ie, ~ (131) Ⅰ after treatment for 21 days) appeared weak limbs, lower extremities as heavy, showing that can not go to bed, collapsed to the ground, was sent to our hospital. Give 10% potassium chloride 30ml / day, methimazole 30mg / day, experience