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患者:张××,女,38岁。因甲状腺腺瘤要求手术治疗,于1980年4月19日入院。诉颈前包块4年,近1年来,不断增大,间感作胀。别无其他不适。体检:体温、脉搏、呼吸、血压均无异常。颈前明显隆起,稍偏右侧甲状腺可扪及一鹅蛋大包块,质中等,边界清楚,表面光滑,未及搏动,可随吞咽移动,气管未明显移位。吸碘试验属正常范围,同位素扫描为凉结节。心电图正常,胸部透视阴性。诊断为右侧甲状腺腺瘤。手术治疗:于1980年5月7日在针麻下行手
Patient: Zhang X, female, 38 years old. The thyroid adenoma required surgical treatment and was admitted to hospital on April 19, 1980. The patient complained of a mass in front of the neck for 4 years. In the past 1 year, it has been continuously enlarged and the sensation has increased. No other discomfort. Physical examination: No abnormalities in body temperature, pulse, respiration, and blood pressure. The front of the neck is obviously uplifted. The right side of the thyroid gland can be riddled with a large mass of goose eggs. The medium quality, clear boundary, smooth surface, and no beat can move with swallowing and the trachea does not shift significantly. The iodine absorption test is a normal range and the isotope scan is a cold nodule. Electrocardiogram is normal and chest perspective is negative. The diagnosis was right thyroid adenoma. Surgical treatment: on May 7, 1980, under needle acupuncture