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目的探讨以呕吐为主要表现的甲亢患者的临床特点、诊断与治疗方法。方法回顾性分析 6例以呕吐为主要表现的甲亢患者的临床资料 ,并复习有关文献。结果本组患者以女性多见 ,突出表现为呕吐 ,无突眼 ,常伴心动过速、脉压增大、明显消瘦、肝功能损害和白细胞减低 ;甲状腺功能检查均符合甲亢诊断 ;抗甲亢治疗疗效显著。结论对不明原因的以呕吐为主要表现的患者应想到甲亢的可能 ,其治疗主要是尽快控制甲亢。
Objective To investigate the clinical features, diagnosis and treatment of hyperthyroidism with vomiting as the main manifestation. Methods Retrospective analysis of 6 cases of vomiting as the main manifestation of hyperthyroidism in patients with clinical data and review of the literature. Results This group of patients more common in women, highlighting vomiting, no exophthalmos, often accompanied by tachycardia, pulse pressure increased, significantly weight loss, liver dysfunction and leukopenia; thyroid function tests are in line with the diagnosis of hyperthyroidism; anti-hyperthyroidism treatment Significant effect. Conclusions Patients with vague as the unexplained vomiting should think of the possibility of hyperthyroidism. The treatment is mainly to control hyperthyroidism as soon as possible.