男患,50岁,因反复呕吐和发作性心悸2周入院。体检:T 37.5℃,P 110次/分,Bp 20/9kPa。面容憔悴,消瘦,皮肤干冷,色素沉着,无突眼,甲状腺不大,无血管杂音。心率110次/分,律齐,S_1增强,肺动脉瓣听诊区Ⅱ级喷射样收缩期杂音。肺及腹部无异常。入院后仍频繁呕吐,每日10余次,止呕药无效,伴不规则低热,阵发性房扑、房颤,进行性消瘦。测得T_3 5.1 ng/ml、T_ 239ng/ml、FT_3 9.2 Male, 50 years old, hospitalized for 2 weeks due to repeated vomiting and episodic palpitations. Physical examination: T 37.5 ℃, P 110 beats / min, Bp 20 / 9kPa. Face haggard, weight loss, dry and cold skin, pigmentation, no exophthalmos, thyroid, vascular murmur. Heart rate 110 beats / min, law Qi, S_1 enhanced pulmonary valve auscultation area Ⅱ jet-like systolic murmur. Abnormal lung and abdomen. Frequent vomiting after admission, more than 10 times daily, invalid vomiting, with irregular fever, paroxysmal atrial flutter, atrial fibrillation, progressive weight loss. Measured T_3 5.1 ng / ml, T_ 239ng / ml, FT_3 9.2