急性化脓性甲状腺炎是一种临床少见的甲状腺非特异性感染性炎症。本文报道两例成年人急性化脓性甲状腺炎的诊治过程,并复习相关文献,讨论本病的临床管理。此两例患者均为年轻女性,均首先表现为颈部疼痛、甲状腺左叶肿大及发热。明确诊断后,两例患者均给予抗生素治疗,症状及体征迅速消失。随访期间未见复发。 Acute suppurative thyroiditis is a clinically uncommon thyroid nonspecific infectious inflammation. This article reports two cases of adult patients with acute suppurative thyroiditis diagnosis and treatment process, and review the relevant literature to discuss the clinical management of the disease. Both of these patients were young women, showing first of all neck pain, left lobe of the thyroid gland and fever. After a definite diagnosis, both patients were given antibiotics, symptoms and signs disappear rapidly. No recurrence during follow-up.