论文部分内容阅读
亚急性甲状腺炎的核医学诊断及治疗山西医学院第一附属医院（０３０００１）陈仁度，郭素萍，王世文虽已知亚急性甲状腺炎（ＳＡＴ）发病与上呼吸道感染有关，但其发病机制尚未阐明，且无特异方法诊断及治疗。本文报道以先进的ＦＴ３、ＦＴ４放免法诊断及中药治疗ＳＡＴ１２例，现报道如下。临床资料ＳＡＴ１２例中，急性期就诊者５例（４１．６７％），缓解期就诊者５例，恢复期就诊者２例（１６．７％）。有２例来本科门诊前已诊为ＳＡＴ，５例未确诊。１０例院外误诊，各为甲状腺瘤３、中耳炎２、齿槽脓肿１、三叉神经痛１、咽喉炎２及桥本氏病１。临床表现发冷发热，颈部肿物，局部疼痛并放散到牙龈、耳、枕部及上胸部。体检：甲状腺肿大，明显压痛，血沉增快。ＴＴ３、ＴＴ４、Ｎａ１３１Ｉ由中科院原子能所生产；ｓＴＳＨ由天津ＤＰＣ公司生产；ＦＴ３、ＦＴ４上海核子所及中科院生产；ＴＧＡ、ＴＭＡ上海生物制品研究所生产，９９ｍＴｃ西南反应堆生产。放免测定仪：美国Ａｂｂｏｔｔ厂生产的ＡＮＳＲγ计数器；甲功仪为四川隆昌生产的ＧＮ－１０４型甲功测定仪；ＥＣＴ为美国善美公司经销的ＥＬＳＣＩＮＴＡｐｅｘ－ｓｐ－４ＨＲ型机器完成。中药：消瘿Ⅱ号：夏枯草３０克、柴胡１０克、郁金１
Nuclear Medicine Diagnosis and Treatment of Subacute Thyroiditis Although the pathogenesis of subacute thyroiditis (SAT) is known to be related to upper respiratory tract infection, the pathogenesis of subacute thyroiditis (SAT) has not been elucidated yet No specific diagnosis and treatment. This article reports the advanced FT3, FT4 radiofrequency ablation diagnosis and Chinese medicine treatment of SAT12 cases are reported below. Clinical data SAT12 cases, acute patients in 5 cases (41.67%), remission of treatment in 5 cases, recovery of 2 patients (16.7%). 2 cases had been diagnosed with SAT before undergraduate clinic, and 5 cases were not diagnosed. 10 cases of misdiagnosis outside the hospital, each for thyroid tumors 3, otitis media 2, alveolar abscess 1, trigeminal neuralgia 1, pharyngitis 2 and Hashimoto’s disease 1. Clinical manifestations of chills, neck mass, local pain and discharge to the gums, ears, occipital and upper chest. Physical examination: goiter, obvious tenderness, ESR faster. TT3, TT4, Na131I by the Chinese Academy of Sciences atomic energy production; sTSH by the Tianjin DPC company; FT3, FT4 Shanghai Institute of Nuclear and the Chinese Academy of Sciences; TGA, TMA Shanghai Institute of Biological Products, 99mTc Southwest reactor production. Radioimmunoassay meter: the United States Abbott factory production ANSR gamma counter; thyroid instrument for the production of Longchang Sichuan GN-104-type tester; ECT for the United States sent the United States company ELSCINTApex-sp-4HR-type machines completed. Chinese medicine: Consumption II: Prunella 30 grams, 10 grams of Bupleurum, Tulip 1