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亚急性甲状腺炎的鉴别诊断进展

Advances in Differential Diagnosis of Subacute Thyroiditis

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【作者】 程娜连小兰

【Author】 CHENG Na;LIAN Xiao-lan;Department of Endocrinology,Mentougou District Hospital;Department of Endocrinology, PUMC Hospital;

【机构】 北京门头沟区医院内分泌科北京协和医院内分泌科

【摘要】 亚急性甲状腺炎占就诊甲状腺疾病患者的5%,为最常见的甲状腺疼痛原因,是由病毒感染或感染后的炎症过程所致的自限性疾病。其典型临床表现有发热、明显的颈部疼痛和触痛、轻中度弥漫性甲状腺肿以及甲状腺功能的演变过程。但不典型病例的临床表现各异,常需与多种疾病进行鉴别诊断,以防误诊误治。该文以临床表现为主线,结合辅助检查对亚急性甲状腺炎的鉴别诊断进行阐述。

【Abstract】 Subacute thyroiditis( SAT) is the most common cause of thyroid pain and accounts for about5% of the thyroid diseases for medical consultation,presumed to be caused by a viral infection or a postviral inflammatory process that is self-limited. It is characterized by fever,marked neck pain and tenderness,slight or moderate diffuse goiter and a predictable course of thyroid function evolution. But atypical case may have different clinical manifestations and need to be differentiated from many other diseases in order to avoid misdiagnosis and mistreatment. Here is to make an elaboration on the differential diagnosis of SAT with clinical manifestations as the major focus and auxiliary test as sideline.

【基金】 卫生行业科研专项(201002002)
  • 【文献出处】 医学综述 ,Medical Recapitulate , 编辑部邮箱 ,2013年20期
  • 【分类号】R581.4
  • 【被引频次】14
  • 【下载频次】625
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