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亚急性甲状腺炎(以下称亚甲炎)临床表现复杂多样,表现不典型者可误诊,现将我院1985-2000年收治30例分析如下。1临床资料1.1一般资料30例亚甲炎中男7例(23%),女23例(77%),年龄14～68岁,平均年龄40.4岁。1.2临床表现20例有甲状腺肿大并疼痛,其中5例伴单个结节。8例单发性甲状腺结节,7例伴疼痛,1例无疼痛,发热21例,心慌、怕热、多汗6例,手颤2例,甲状腺有压痛22例,无压痛8例。1.3辅助检查(1)甲状腺功能测定:T3、T4、TSH正常22例(正常值T31.0-4.18pg/ml,T43.4-17.4pg/ml,TSH0.6-4.8μIU/ml),T3、T4增高、TSH下降6例,T34.5-6.2pg/ml,T4
Subacute thyroiditis (hereinafter referred to as methylene-inflammation) complex and diverse clinical manifestations, atypical cases can be misdiagnosed, now our hospital from 1985 to 2000 admitted to 30 cases are analyzed as follows. 1 Clinical data 1.1 General Information 30 cases of male inflammation in 7 males (23%), 23 females (77%), aged 14 to 68 years, mean age 40.4 years. 1.2 Clinical manifestations of 20 cases of goiter and pain, of which 5 cases with a single nodule. 8 cases of solitary thyroid nodules, 7 cases with pain, 1 case without pain, fever in 21 cases, palpitation, febrile, hyperhidrosis in 6 cases, hand tremor in 2 cases, thyroid tenderness in 22 cases, no tenderness in 8 cases. 1.3 auxiliary examination (1) thyroid function test: T3, T4, TSH normal in 22 cases (normal T31.0-4.18pg / ml, T43.4-17.4pg / ml, TSH0.6-4.8μIU / ml), T3 , T4 increased, TSH decreased in 6 cases, T34.5-6.2pg / ml, T4