摘要
目的 探讨表现为甲状腺结节的亚急性甲状腺炎（SAT）的临床特点,以减少误诊误治.方法 回顾性分析2011年12月至2016年12月12例SAT误诊为甲状腺结节患者的临床资料,研究总结临床特点及误诊原因.结果 12例患者怕热、多汗、心悸、手抖等高代谢症状不明显.有明确上呼吸道感染病史的患者5例;伴发热4例.2例伴有吞咽时甲状腺区疼痛.7例FT4、FT3轻度升高,TSH的下降;余5例正常.结论 误诊为甲状腺结节的SAT患者的临床症状不典型,发病隐匿,及诊治医师对SAT缺乏认识,是导致误诊的主要原因.
Objective To investigate the clinical characteristics of subacute thyroiditis（SAT）that presented as thyroid nodule,and to reduce the misdiagnosis and mistreatment. Methods he clinical data of 12 patients with SAT which were misdiagnosed as thyroid nodules retrospectively analyzed in our hospital from December 2011 to December 2016 and the clinical characteristics were summarized. Results Among these 12 patients, the high metabolic symptoms such as heat intolerance,sweating,palpitation and tremor of hand were not obvious. 5 patients had the history of upper respiratory tract infection and 4 cases were accompanied with fever. 2 patients suffered from pain when swallowing. The thyroid function of 7 patients were abnormal while that of other 5 patients were normal. Conclusion The clinical symptoms of patients with SAT which were misdiagnosed as thyroid nodules are atypical and the incidence is occult,together with the lack of understanding of SAT for the doctor are the main causes of misdiagnosis.
出处
《浙江临床医学》
2017年第8期1455-1456,共2页
Zhejiang Clinical Medical Journal
基金
国家自然科学基金资助课题（81400321）
