The pa‐tient was a talkative,alert,elderly male in no acute distress and without cyanosis .Neck:thyroid diffusely enlarged 2~3 times more than normal without bruit .检查所见:体温38.2℃,脉搏82,呼吸16,血压120/80mmHg。皮肤:手掌有轻度红斑。头发:正常。颈部:甲状腺呈弥散性肿大,比正常者大2~3倍,没有杂音。主动脉第二音比肺动 ......