患者,男,50岁,因“创伤性休克、多发伤”于2012年11月27日被收入山东省文登整骨医院ICU,经口气管插管呼吸机辅助呼吸22 d后,脱机仍困难,综合评估决定给予气管切开术。术前专科查体见甲状腺轻度弥漫性肿大,未触及明显结节及肿物,无震颤及血管杂音,颈部淋巴结亦不大。术后查甲状腺功能:TSH 59.51μIU/m L(正常值:0.27~4.20μIU/m L);FT3 1.57 pmol/L(正常值:3.1~6.8 pmol/L);FT4 1.89 pmol/L(正常 The patient, male, 50 years old, was admitted to ICU of Wendeng Osteopathic Hospital in Shandong Province on November 27, 2012 because of “traumatic shock and multiple injuries” because of “traumatic shock and multiple injuries.” After 22 days of oral breathing with orotracheal tube ventilator, Difficulties, a comprehensive assessment decided to give tracheotomy. Preoperative examination found mild diffuse thyroid enlargement, no obvious nodules and palpable mass, no tremor and vascular murmur, cervical lymph node is not large. Thyroid function was examined after surgery: TSH 59.51 μIU / m L (normal: 0.27-4.20 μIU / m L); FT3 1.57 pmol / L (normal: 3.1-6.8 pmol / L); FT4 1.89 pmol / L