论文部分内容阅读
患者女性,40岁。发现双侧颈前3个蚕豆样大小肿物2年,但无明显的疼痛及不适感,并可随吞咽移动。1年后出现心悸,双手颤抖,心情急躁,多食,多汗及消瘦等甲亢症状。经他巴唑治疗半年,症状消失。以甲状腺机能亢进症入院择期手术。检查:T36.8℃,P100次/分。无突眼症,双手震颤(一)。右甲状腺可触及一约1cm×1.5cm肿物,左侧0.3cm×0.8cm肿物,峡部1cm×0.7cm肿物。3个肿物质均中等,边界清楚,表面光滑,无压痛。辅助化验:T_3、T_4等均正常。经口服卢戈氏液,心得安等术前准备后,行双侧甲状腺次全切除术,术中经过顺利。术后病理报告:右侧甲状腺乳
Female patient, 40 years old. The first 3 broad-bean-size tumors on both sides of the neck were found for 2 years, but there was no obvious pain and discomfort, and they could move with swallowing. One year later, she developed heart palpitations, trembling hands, feeling irritable, eating too much, sweating and wasting and other symptoms of hyperthyroidism. Six months after treatment with tamatazole, the symptoms disappeared. An elective surgery for admission to hyperthyroidism. Check: T36.8°C, P100 beats/minute. No exophthalmos, both hands tremor (a). The right thyroid gland can reach a mass of about 1 cm x 1.5 cm, with a 0.3 cm x 0.8 cm mass on the left and a 1 cm x 0.7 cm mass on the isthmus. The three swollen masses were medium, with clear boundaries, smooth surfaces, and no tenderness. Auxiliary tests: T_3, T_4, etc. are all normal. After oral administration of Lugol’s solution, Propranolol and other preoperative preparations, bilateral subtotal thyroidectomy was performed and the operation was successful. Postoperative Pathology Report: Right Thyroid Milk