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学科主题: 药剂学
题名:
以感染症状为首发表现的亚急性甲状腺炎患者临床表现及治疗
其他题名: Clinical presentation and treatment of patients with subacute thyroiditis with onset symptom of infection
作者: 赵宁1; 马序竹1
关键词: 亚急性甲状腺炎 ; 红细胞沉降率 ; 上呼吸道感染 ; subacute thyroiditis ; erythrocyte sedimentation rate ; upper respiratory tract infection
刊名: 中国临床药理学杂志
发表日期: 2014
DOI: 10.13699/j.cnki.1001-6821.2014.11.001
期: 11, 页:981-982,987
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的:探讨以感染症状为首发表现的亚急性甲状腺炎临床表现及治疗。方法回顾性分析我院54例以感染症状为首发表现的亚急性甲状腺炎患者的临床资料。结果患者发病年龄以30~60岁多见,占85%;发病月份主要集中在5~10月;患者均有发热及相应感染的表现。颈部不适及甲状腺触痛的患者占72.2%;血白细胞升高患者占40.7%;全部患者均有红细胞沉降率增快;94.4%的患者伴甲状腺功能亢进;31%的患者有典型的甲状腺超声表现。非甾体类及肾上腺糖皮质激素治疗有效。结论对发热伴咽痛表现的患者应注意仔细查体,特别是伴无其他病因而红细胞沉降率明显增快的患者应完善实验室检查除外亚急性甲状腺炎的诊断。 Objective To investigate the clinical presentation and treat-ment of patients with subacute thyroiditis ( SAT) with onset symptom of infection.Methods The data of fifty-four cases of SAT patients with onset symptom of infection were analyzed retrospectively.Results Eighty five percent of total patients were 30 to 60 years old.The occur-rence season mainly was during May to October.All the patients had fever and related symptoms of infection.The patients with symptoms of neck discomfort, thyroid pain and tenderness accounted for 72.2%. Twenty -four cases ( accounted for 40.7%) showed increasing white blood cell count.All patients had increased erythrocyte sedimentation rate ( ESR) and 94.4%patients had high levels of thyroid hormone.The typical SAT features of ultrasound were found in 31% patients.Non-steroids and glucocorticoids were effective for SAT patients.Conclusion Patients with fever and sore throat should be noted carefully to check the performance of their body, especially for those without other obvious causes while with fast increasing erythrocyte sedimentation rate, diagnos-tic laboratory tests should be done except for subacute thyroiditis.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/43953
Appears in Collections:北京大学第一临床医学院_药剂科_期刊论文

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作者单位: 1.北京大学 第一医院 药剂科
2.北京大学 第一医院 临床药理研究所,北京,100034

Recommended Citation:
赵宁,马序竹. 以感染症状为首发表现的亚急性甲状腺炎患者临床表现及治疗[J]. 中国临床药理学杂志,2014(11):981-982,987.
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