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病历摘要患者女性,24岁。因浮肿7月昏迷4天于1985年11月21日入院。患者从1985年4月起劳累后双下肢浮肿伴尿少。7月出现皮肤、巩膜黄染,未治疗自行消退。8月碾转南京各医院查TT_s<0.5ng/ml,TT_44.5μg/dl,TSH2.35μv/ml,LH、FSH、PRL、17_(OH)、17_(KS)均正常;TG_(Ab)41.7%,TM_(Ab)29.1%。外院诊断为“甲状腺功能减退,粘液水肿”。从此长期服用甲状腺片及间歇使用利尿剂,但病情继续加重并有腹水。11月7日起伴右侧胸痛,曾胸透并抽胸水1000ml,吕氏试验弱阳性,细胞数74/mm~3,比重1.010,诊断为“结核性胸膜炎”。曾用利福定、异烟肼等无效。11月15日起头
Patient Summary Female, 24 years old. Due to edema July coma 4 days in November 21, 1985 admission. Patients from June 1985 after exertion double lower extremity edema with less urine. July skin, scleral yellow dye, untreated spontaneous regression. TT_44.5μg / dl, TSH2.35μv / ml, LH, FSH, PRL, 17_ (OH), 17_ (KS) were normal in all hospitals in Nanjing in August. TG_ (Ab) 41.7 %, TM_ (Ab) 29.1%. Outside the hospital diagnosed as “hypothyroidism, mucus edema.” Since then long-term use of thyroid tablets and intermittent use of diuretics, but the condition continued to worsen with ascites. On November 7, accompanied by right chest pain, had chest and thoracic drainage 1000ml, Lu test weakly positive, the number of cells 74 / mm ~ 3, the proportion of 1.010, diagnosed as “tuberculous pleurisy.” Once with rifadin, isoniazid and other invalid. November 15 start