Old man's palpitation is checked the thyroid gland

Old man's palpitation is checked the thyroid gland
Patient, male, 64 years old, because palpitation, uncomfortable in chest and breathing hard, fearing for cold 3 years, the condition has become more serious recently, accompany a pair of lower extremities edema to admitted to hospital in 8 months. Decline and treat in the other institute according to coronary heart disease, heart, the condition has not obviously taken a favorable turn.
Check the body: Blood pressure 100/70mmHg, looks dull, the expression is indifferent, the skin is dry, edema of eyelid, one pair of lungs is not unusual, expand heart circle,heart rate 58 times /divide,there are neat on law, there are low and blunt on heart sound, pairs of lower extremities dent edemas intermediate. Electrocardiogram brief sinus nature on to be aroused in interest too slow, section ST is forced down, T wave inverted; The color sonography is briefed on the left room and expands, the interventricular septum increases thick.
The function report of thyroid gland: TT3 (original amino acid of thyroid gland of three total iodine) 0.8 is received Mole liter, TT4 (total thyroid gland hormone of serum) 42 is received Mole liter, FT3 ( dissociating original amino acid of thyroid gland of three iodine) 2.8 cover More liter, FT4 ( dissociating hormone of thyroid gland) 11.2 cover More liter, TSH (urge hormone of thyroid gland) 68mU/L.
The patient is made a definite diagnosis of hypothyroidism, offer 40 milligrams of thyroid gland film, take orally 1 times a day. Future trouble person's symptom is relieved gradually in 5 days, symptom totally disappears two months later. Then continue keeping treating, patient's condition is steady, do not recur yet so far.
Realize: Hypothyroidism is not rare in the middle-aged and old patient. Not typical because of early symptom, it is various informative to behave, lack the specificity, it is very easy to be misdiagnose as disease of cardiovascular system, for instance coronary heart disease, the intersection of brain and arteriosclerosis,etc., chronic nephritis, old age dull-witted. In order to reduce or avoid the mistaken diagnosis of this disease, in conformity with the thyroid gland function of routine inspection to the middle-aged and old palpitation patient.
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