患者 ,女 ,70岁。因颈痛 4个月加重伴咳嗽、气促 3ｄ入院。入院前 4个月出现无诱因颈痛 ,吞咽时明显 ,未治疗 ,入院前 3天颈痛加重 ,伴声嘶、咳嗽、气促 ,无吞咽困难 ,以桥本病伴甲状腺功能低下于 1 999年 1 2月 1 1日收入院。检查 :体温 3 6 .2℃ ,呼吸困难明显 ,甲状腺肿大 , Patient, female, 70 years old. 4 months due to neck pain with cough, shortness of breath 3d admitted. 4 months before admission, there was no induced neck pain, swallowing obvious, untreated, neck pain increased 3 days before admission, accompanied by hoarseness, cough, shortness of breath, no difficulty swallowing, Hashimoto’s disease with hypothyroidism in 1 999 Year 1 February 1 January income court. Check: body temperature 3 6 .2 ℃, difficulty breathing, goiter,