患者女,65岁,退休干部。因浮肿、怕冷、贫血2年余,发现心包积液10余天而于1985年1月9日入院。患者于两年多前起无诱因出现下肢及面部浮肿,并感怕冷、记忆力减退,对周围事物不感兴趣。食欲减退,每天仅吃一两饭,但体重反增加,常有便秘。皮肤粗糙、苍黄。1982年检查血红蛋白8.8克%,红 Female patient, 65 years old, retired cadre. Due to edema, cold, anemia more than 2 years, found more than 10 days pericardial effusion and on January 9, 1985 admission. Patients more than two years ago, no incentive to appear lower extremities and facial edema, and feeling cold, memory loss, not interested in the surrounding things. Loss of appetite, eat only one or two meals a day, but weight gain increased, often constipation. Rough skin, pale yellow. In 1982 check hemoglobin 8.8 grams, red