美托洛尔在甲状腺功能亢进危象治疗中致严重肝功能损害1例

发布时间：2018-03-01 16:05

  本文关键词： 窦性心动过速 肝功能损害 体格检查 甲亢危象 丙基硫氧嘧啶 血管杂音 肝损害 瓣膜听诊区 β受体阻滞剂 丙硫氧嘧啶 　出处：《广东医学》2017年05期 　论文类型：期刊论文

【摘要】：正患者,女,26岁,因怕热、心悸、手抖1月余于2016年7月19日入院。患者1个月前开始出现多食、易饥、怕热、多汗、心悸、手抖等症状,并发现甲状腺明显肿大,曾在外院门诊查甲功提示T_3、T_4明显升高,TSH明显下降,考虑甲状腺功能亢进,未予重视。近来上述症状加重,查心电图提示窦性心动过速,159次/min而入院。既往2年前有手臂脂肪瘤切除病史。体格检查:体温36.1℃,脉搏136次/min,血压128/84 mmHg,体型
[Abstract]:The patient, 26 years old, was admitted to hospital on July 19th 2016 for fear of heat, palpitations, palpitations and hand tremors. The patient began to suffer from more food, hunger, heat, sweating, palpitations, tremors and other symptoms one month ago, and found that the thyroid gland was obviously enlarged. Having checked the thyroid in the outpatient clinic of the foreign hospital, it was suggested that T3T / T _ 4 obviously increased and the TSH was obviously decreased, and the hyperthyroidism was considered, which was not taken seriously. Recently, the above-mentioned symptoms became more serious. The electrocardiogram showed that sinus tachycardia occurred 159 times / min and was admitted to hospital. There was a history of lipoma resection 2 years ago. Physical examination: body temperature 36.1 鈩，

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