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男性,23岁。因怕热、颈粗,发作性瘫痪半年于1987年4月24日入院。患者于半年前开始怕热、多汗、颜面浮肿,性情急躁、失眠、食欲亢进、大便增多,活动时感心慌、心悸,颈部逐渐增粗,四肢乏力,腰背部酸痛,先后4次发作性下肢瘫痪,持续数小时自行缓解。曾在当地医院给予中药及抗风湿治疗无效转入我院。既往曾患急性肝炎,现已治愈。体检:颜面浮肿,皮肤湿润,眼裂增大,眼球稍凸出,辐辏反射减弱。颈软,双侧甲状腺弥漫性肿
Male, 23 years old. Fear of heat, thick neck, paralysis of seizures for six months on April 24, 1987 admission. Six months ago, the patient started to have fever, sweating, edema, impatience, insomnia, hyperactive appetite, increased stool, palpitation during activity, palpitations, neck thickening, weakness of the limbs, sore back and back, and 4 episodes Paralysis of the lower limbs, sustained for several hours to ease themselves. Once in the local hospital to give Chinese medicine and anti-rheumatic therapy invalid transferred to our hospital. Previously had acute hepatitis, is now cured. Physical examination: facial edema, moist skin, increased eye crevices, slightly protruding eyes, convergence of reflex weakening. Neck soft, bilateral thyroid diffuse swelling