[1]钟时嘉.亚急性甲状腺炎的临床分析[J].医学信息,2018,31(01):181-183.[doi:10.3969/j.issn.1006-1959.2018.01.073]
　ZHONG Shi-jia.Clinical Analysis of Subacute Thyroiditis[J].Journal of Medical Information,2018,31(01):181-183.[doi:10.3969/j.issn.1006-1959.2018.01.073]
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亚急性甲状腺炎的临床分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年01期
页码:
181-183
栏目:
出版日期:
2018-01-01

文章信息/Info

Title:
Clinical Analysis of Subacute Thyroiditis
文章编号:
1006-1959（2018）01-0181-03
作者:
钟时嘉
四川省司法警官总医院急诊科，四川成都610225
Author(s):
ZHONG Shi-jia
Department of Emergency,the Sichuan Provincial Police General Hospital,Chengdu 610225,Sichuan,China
关键词:
甲状腺炎袁亚急性; 糖皮质激素
Keywords:
Key words：Thyroiditis; Subacute; Glucocorticoid
分类号:
R581.4
DOI:
10.3969/j.issn.1006-1959.2018.01.073
文献标志码:
A
摘要:
目的探讨亚急性甲状腺炎的临床特点，降低临床误诊率遥方法回顾性分析2010年1 月耀2015 年12 月亚急性甲状腺 炎患者54 例的临床资料遥结果54例亚急性甲状腺炎患者中，发病年龄以中尧青年为主，女性多于男性曰46.30%的患者在发病前 有上呼吸道感染史遥多数患者出现发热尧甲状腺毒症症状尧甲状腺区疼痛和甲状腺触痛曰甲状腺肿大见于全部病例曰甲状腺激素 水平增高尧甲状腺摄碘率减低是最显著的临床特征曰门诊首诊误诊率25.90%，其中非内分泌科首诊误诊率高于内分泌专科遥所 有患者经非甾体药物及糖皮质激素治疗有效遥结论绝大多数亚急性甲状腺炎患者有典型的临床表现，但易误诊遥详细询问病 史尧仔细查体尧合理选择实验室检查并正确解读实验室检查结果有利于减少误诊率遥非甾体类药物和糖皮质激素治疗亚急性甲 状腺炎有效遥
Abstract:
Abstract：Objective To investigate the clinical features of subacute thyroiditis,reduce the misdiagnosis rate.Methods Retrospective analysis of clinical data from January 2010 to December 2015,54 cases of subacute thyroiditis patients.Results 54 cases of subacute thyroiditis patients,age of onset in young people,more women than men; 46.30% of the patients had history of upper respiratory tract infection before the onset.Most of the patients had fever,symptoms of thyrotoxicosis,thyroid pain and tenderness of thyroid goiter in all cases;increased the level of thyroid hormone,thyroid iodine uptake decreased is the most notable clinical characteristics;The outpatient misdiagnosis rate was 25.90%,the misdiagnosis rate is higher than the non department of endocrinology.The endocrine specialist non steroidal drugs and glucocorticoid treatment was effective in all patients. Conclusion The majority of patients with subacute thyroiditis with typical clinical manifestations,but easily misdiagnosed.Detailed history,careful physical examination,laboratory examination and examination results of reasonable choice the correct interpretation of the laboratory to reduce the misdiagnosis rate. Non steroid drugs and glucocorticoids are effective in the treatment of subacute thyroiditis.

参考文献/References:

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更新日期/Last Update: 2018-01-22