摘要
目的探讨亚急性甲状腺炎的临床症状、诊断、鉴别诊断及治疗。方法回顾性分析我院40例亚急性甲状腺炎患者的临床资料。结果40例亚急性甲状腺炎患者发病年龄以20～50岁多见,共35例,占88%;临床症状典型,主要为颈部不适及甲状腺局部的疼痛及触痛32例（80%）;40例血沉均明显升高,甲状腺摄碘率均低下,内科非甾体类及肾上腺糖皮质激素治疗有效。结论绝大部分亚急性甲状腺炎有典型的临床表现,结合其辅助检查尤其是甲状腺功能、摄碘率、血沉的检查,可正确诊断及鉴别诊断,避免不必要的治疗,非甾体类及肾上腺激素治疗疗效确切。
Objective To investigate the symptoms, diagnosis, differential diagnosis and treatment of subacute thyroiditis. Methods The clinical data of 40 cases of subacute thyroiditis were analysed . Results 35 cases （88% ） of patients were 20 to 50 years old, 32 cases（80% ） had typical symptoms, such as neck discomfort ,thyroid pain and tenderness;Erythrocyte sedimentation rate （ESR） was increased and thyroid iodine absorption rale was decreased in all patients; non-steroids and glucoeorticolds were effective. Conclusions Most subacute thyroiditis patients have typical clinical manifestations, when combined with their thyroid function , ^131I absorption rate and ESR ,they can be correctly diagnosed. Non-steroids and glucocortieoids are effective. regimen.
出处
《实用医院临床杂志》
2009年第4期116-117,共2页
Practical Journal of Clinical Medicine
关键词
亚急性甲状腺炎
甲状腺吸131I率
血沉
肾上腺糖皮质激素治疗
Subaeute thyroiditis thyroid
^131I absorption rate
Erythrocytc sedimentation rate
Glueocorticoid treatment
