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本文报告甲状腺机能亢进并发肾小管酸中毒病例8例。例1,女,41岁,教师,因夜间突然左腰部剧痛,并向会阴部放射来院急诊。查体:体温36℃,脉率105次/分,血压130/80mmHg。心肺检查无异常,肝脾不大,左肾区叩击痛阳性。尿常规;蛋白(+),红细胞工10～15/HP,白细胞6～10/HP。腹部平片:左侧输尿管上方可见0.8cm×1.0cm结石影,B超亦证实。对症治疗后疼痛减轻。追问病史患者一年来消瘦明显,体重下降约15kg,纳亢,但于近3个月来厌食、恶心、怕热、出
This report reports hyperthyroidism complicated by renal tubular acidosis in 8 cases. Example 1, female, 41 years old, teacher, suddenly left anus due to severe pain at night, and to the perineal radiology emergency hospital. Physical examination: body temperature 36 ℃, pulse rate 105 beats / min, blood pressure 130 / 80mm Hg. No abnormal heart and lung examination, liver and spleen is not large, peristalsis pain in the left kidney area. Urine routine; protein (+), red blood cell workers 10 ~ 15 / HP, white blood cells 6 ~ 10 / HP. Abdominal plain film: visible above the left ureter 0.8cm × 1.0cm stone shadow, B-also confirmed. Pain relief after symptomatic treatment. History of patients with history of weight loss significantly over the past year, weight loss of about 15kg, satisfied Kang, but in the past 3 months to anorexia, nausea, fearing heat out