论文部分内容阅读
甲状腺性肌病临床容易延误诊,尤其是原发病不典型而以肌病为主要表现时。现将我们所遇三例报告如下。例1:患者,女,51岁,入院前四月起肢体乏力、疼痛并逐渐加重,以致上楼、梳头、高架取物均感困难,坐后不能起立,同时失眠、消瘦、多食易饥烦躁易怒。休息和睡眠后常发双下肢活动障碍,半至数小时方见好转,发作时查血K~+2.3mmol/L,但活动状态下不发作。因必慌气促,卧床难起曾多次误诊为“心脏病”、“更年期综合征”治疗无效转入我科。查体:体重43kg,双眼紧张有神,眼睑不垂,眼球转动自如,无复视。发音哑,口语不清,吞咽反呛,但尚能连续咀嚼食物,软腭及咽反射迟钝。甲状
Clinical thyroid myopathy is easily delayed diagnosis, especially when the original atypical and myopathy as the main performance. Now we have three cases reported below. Example 1: Patient, female, 51 years old, with limb weakness, pain and aggravating in April before admission. As a result, it was difficult to go upstairs, comb hair, and elevated to take a lift, unable to stand after sitting, insomnia, weight loss, Irritability irritability. After resting and sleeping, the lower extremities often have dyskinesia, and the symptoms improved after half to several hours. During the attack, the blood was checked for K ~ + 2.3mmol / L, but no seizures occurred during the activity. Due to panic and urgency, bedridden repeatedly misdiagnosed as “heart disease”, “menopause syndrome” invalid treatment transferred to our department. Physical examination: weight 43kg, eyes nervous with God, eyelid is not vertical, eye rotation freely, no diplopia. Dumb pronunciation, unclear, swallowing anti-choke, but still able to chew food, soft palate and pharyngeal reflex dull. thyroid