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恶性葡萄胎引起甲状腺功能亢进(下称甲亢)临床上很少见,本文报告1例并讨论其误诊原因,以吸取教训。患者,女,54岁。因反复上腹痛2年,加重伴呕吐10余天于1989年8月26日入院。发病后有返酸、嗳气及烦躁、怕热,食欲差,无大汗及心悸。近1年开始月经不规则,最后1次月经是5月底。体查:血压17.3/9.3kPa,肥胖,多语,无突眼,手震颤(±),甲状腺Ⅱ°肿大,左侧为主,质软、光滑、随吞咽上下活动,表面未闻及血管杂音,双肺清,心率98次,S_1亢进,腹软,上腹轻压痛,无震水音,肝脾未及,
Malignant mole caused hyperthyroidism (hereinafter referred to as hyperthyroidism) is clinically rare, this article reports 1 case and discusses the reasons for misdiagnosis in order to learn the lesson. Patient, female, 54 years old. Due to repeated upper abdominal pain for 2 years, aggravated with vomiting for more than 10 days in August 26, 1989 admission. After the onset of acid reflux, irritability and irritability, fear of heat, poor appetite, no sweating and palpitations. Irregular menstruation nearly 1 year, the last menstrual period is the end of May. Physical examination: blood pressure 17.3 / 9.3kPa, obesity, multilingual, no exophthalmos, hand tremor (±), thyroid Ⅱ ° enlargement, the left side of the main, soft, smooth, up and down with the swallowing activity, Noise, lung clearance, heart rate 98 times, S_1 hyperthyroidism, abdominal soft, tender abdominal tenderness, no shock water sound, liver and spleen not yet,