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例1,女性,44岁。因颈前肿块2个月,伴局部胀痛入院。查体:体温37.4℃,颈部正中甲状软骨下有3×3×2cm的肿块,质地偏硬,边界清,表面光滑,较固定,随吞咽上下活动,局部有压痛。颈部浅表淋巴结无肿大。血常规:血红蛋白126g/L,白细胞6.4×10~9/L,中性粒细胞0.74。术中见肿块位于甲状腺峡部,与颈前肌有明显粘连;做肿块穿刺,抽出乳黄色混浊粘稠脓液5ml,切除甲状腺峡部及肿块,用洗必泰生理盐水冲洗创面,置引流条,住院10天痊愈。切开标本肉眼观,脓腔内肉芽组织呈灰白色。术后病理报告为甲状腺组织内蜂窝织炎。
Example 1, female, 44 years old. Due to neck mass 2 months, accompanied by local pain and admission. Physical examination: body temperature 37.4 ℃, the middle of the neck thyroid cartilage 3 × 3 × 2cm mass, the texture is too rigid, clear boundary, the surface is smooth, with swallowing up and down activities, local tenderness. Neck superficial lymph nodes without swelling. Blood: hemoglobin 126g / L, white blood cells 6.4 × 10 ~ 9 / L, neutrophils 0.74. Intraoperative see the mass in the thyroid isthmus, and the anterior cervical muscle were significantly adhesions; do mass puncture, out of milk yellow cloudy thick pus 5ml, resection of thyroid isthmus and lumps, wash the wounds with chlorhexidine saline, set drainage, hospitalization 10 days cured. Cut the specimen macroscopic view, the granulation tissue within the abscess was gray. Postoperative pathology was reported as cellulitis in thyroid tissue.