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急性化脓性甲状腺炎罕见,国内尚无文献报道,现将我院近20年中所见的7例报道如下。临床资料一般情况:7例均为女性,年龄4～60岁,其中40～63岁5例。肿块由鸽蛋至儿头大,有脓肿形成。右叶3例,左叶2例,双侧者2例。局部均有明显触痛,肿块与周围组织粘连,吞咽时移动度差。局部皮肤发红者5例。形成脓肿有波动感者3例。有吞咽困难、呼吸困难和声音嘶哑者各1例。7例平均体温39℃(37.9～39.9℃)。实验室检查:红细胞1.77～3.60×10~(12)/L,血红蛋白70～125g/L,有轻至重度贫血。血白细胞计数,6例为10.1～30.3×10~9/L;中性6例为73～92％。1例作甲状腺吸~(131)碘功能显示在正常低限;甲状腺扫描,病变部位(右甲状腺下极)呈“冷结节”,但放射性稀疏区延及
Acute suppurative thyroiditis is rare, there is no domestic literature, now the hospital seen in nearly 20 years, seven cases are reported below. General clinical data: 7 cases were female, aged 4 to 60 years, of which 40 to 63 years in 5 cases. Lumps from the pigeon egg to the head, abscess formation. 3 cases of right lobe, 2 cases of left lobe, 2 cases of both sides. Local obvious tenderness, mass and surrounding tissue adhesions, poor swallowing mobility. Local skin redness in 5 cases. Abscess formation in patients with fluctuations in 3 cases. There are 1 cases of swallowing difficulties, breathing difficulties and hoarseness. The average temperature of 7 cases was 39 ℃ (37.9 ~ 39.9 ℃). Laboratory tests: red blood cells 1.77 ~ 3.60 × 10 ~ (12) / L, hemoglobin 70 ~ 125g / L, mild to severe anemia. Blood white blood cell count, 6 cases were 10.1 ~ 30.3 × 10 ~ 9 / L; neutral 6 cases were 73 to 92%. 1 case of thyroid suction ~ (131) iodine function showed in the normal low limit; thyroid scan, the lesion (right thyroid lower pole) was “cold nodules,” but extended to radioactive sparse area