论文部分内容阅读
本文报告了亚急性甲状腺炎14例的临床症状、体征、主要实验室检查及甲状腺扫描结果;重点讨论了误诊原因及鉴别诊断;提出了本病的临床特点。对突发甲状腺肿大伴疼痛者,皆要考虑亚急性甲状腺炎的诊断,应及时做血沉、甲状腺摄~(131)碘率、甲状腺扫描等检查,必要时作甲状腺活检确证。本病应内科治疗。肾上腺皮质激素治疗有显效,但抗感染药则无效。临床应提高对本病的认识以减少因误诊而延误治疗和避免不必要的手术。
This article reports the clinical symptoms, physical signs, major laboratory examinations, and thyroid scan results of 14 cases of subacute thyroiditis. It focuses on the causes of misdiagnosis and differential diagnosis, and proposes the clinical features of the disease. For sudden onset of goiter with pain, the diagnosis of subacute thyroiditis should be considered. Erythrocyte sedimentation rate, thyroid uptake (131) iodine rate, thyroid scan, etc. should be promptly performed, and confirmation of thyroid biopsy should be performed when necessary. The disease should be medical treatment. Adrenocortical hormone therapy was effective, but anti-infective drugs were ineffective. The clinical should improve the understanding of the disease to reduce the delay in treatment due to misdiagnosis and avoid unnecessary surgery.