女性，19岁。半个月来出汗多，心悸，易饥，体重降低6公斤。查体_爱下问搜题

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问题单项选择题

女性，19岁。半个月来出汗多，心悸，易饥，体重降低6公斤。查体：BP 120/ 60mmHg，无突眼，甲状腺弥漫性肿大，无压痛，可闻及血管杂音，晨起心率 108次/分，律齐，肺和腹部检查未见异常。

首选的治疗是

A．手术治疗

B．碘剂

C．抗甲状腺药物

D．放射碘治疗

答案

参考答案：C

解析：[考点] 甲状腺功能亢进症的诊断和治疗

[分析]：该年轻女性患者有出汗多、心悸、易饥和体重下降等高代谢症状及有脉压大和心动过速等高代谢体征，甲状腺肿大呈弥漫性，而且可闻及血管杂音，所以最可能的诊断是Graves病，其余三种疾病与此表现均不符；诊断甲状腺功能亢进症(Graves病)需要测定甲状腺功能，因此血T₃、T₄测定最有助诊断，而TPOAb和TgAb是甲状腺自身抗体，Graves病可有滴度增高，但非诊断所必需，其余两项检查亦非必需；该年轻患者为初诊轻、中度甲状腺功能亢进症，首选宜用抗甲状腺药物，其余三种治疗均不宜首选，放射碘治疗属禁忌。

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Tragedies have a way of making people rethink their (1) and find a new focus. They make people think about what a society needs in order to (2) . The notion of doing something to take control of society or of our fate as humans might be dated back to ancient times of the (3) . Now, in the early 21st century, " social (4) " are trying to take back some (5) over society’s direction once again. A social inventor is not necessarily a social (6) , a social (7) or someone who works in a (8) industry or invents new (9) and consumer products. A social inventor is using the power of (10) thinking, to come up with ideas for (11) in certain communities or sections of society. They have a vision of a (12) world and create new systems or practices. Their ideas may seem (13) or impossible. They are usually quite (14) people. But some of these creative thinkers have (15) and quietly changed the way we live. Social inventions do not have to be (16) . Sometimes they are new (17) for neighborhoods or communities, or even very (18) ideas. The idea of social inventions has become so popular in recent years. It shows how much people desire to make a (19) in our society and not remain (20) .

Tragedies have a way of making people rethink their (1) and find a new focus. They make people think about what a society needs in order to (2) . The notion of doing something to take control of society or of our fate as humans might be dated back to ancient times of the (3) . Now, in the early 21st century, " social (4) " are trying to take back some (5) over society’s direction once again. A social inventor is not necessarily a social (6) , a social (7) or someone who works in a (8) industry or invents new (9) and consumer products. A social inventor is using the power of (10) thinking, to come up with ideas for (11) in certain communities or sections of society. They have a vision of a (12) world and create new systems or practices. Their ideas may seem (13) or impossible. They are usually quite (14) people. But some of these creative thinkers have (15) and quietly changed the way we live. Social inventions do not have to be (16) . Sometimes they are new (17) for neighborhoods or communities, or even very (18) ideas. The idea of social inventions has become so popular in recent years. It shows how much people desire to make a (19) in our society and not remain (20) .