摘要
目的 探讨亚急性甲状腺炎的病因、临床表现、诊断及治疗。方法 对35例亚甲炎患者的病史、临床表现、实验室资料、核素检查及治疗进行总结分析。结果 患者以女性多见．发病年龄40-50岁。占51．4％，所有患者均有甲状腺肿大和疼痛。5例FT3、FT4与甲状腺摄碘率呈分离现象。所有患者均给予地塞米松静推后改为强的松口服，效果良好。结论 对亚急性甲状腺炎的诊断应重视病史和体检，并进行必要的辅助检查，尤其核医学检查，必要时可行诊断性治疗及穿刺细胞学检查．肾上腺糖皮质激素是治疗本病有效的药物。
Objective To study the etiology,clinical manifestation, diagnosis and treatment of subaeute thyroiditis. Methods Thirty--five cases of subacute thyroiditis were retrospectively analyzed including their medical history,elinical manifistation,laboratory and nuclear medicine tests. Results Subacute tbyroiditis was more commonly seen in women. The age of 40--50 years accounted for 51.4~. All patients bad pain and enlarged thyroid. Five cases showed a low radioiodine uptake and an increased serum thyroid hormone level. All the patients,who were firstly treated with intravenous injection of dexametbasone and then oral administration of prednisone,recovered well. Conclusion Great importance should be attached to the medical history, physical examination and necessary lab tests, especially nuclear medicine tests as diagnosis of subacute thyroiditis,and diagnostic drug treatment or fine needle aspiration biopsy are often eligible for suspected cases. Glucocorticoid is the optimal medicine for treating this disease.
出处
《西部医学》
2007年第1期52-53,共2页
Medical Journal of West China
