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Diagnosis and treatment of hemorrhagic degeneration of nodular goiter easily misdiagnosed as subacute thyroiditis: a report of 3 cases
Author(s): 
Pages: 674-678
Year: Issue:  11
Journal: World Clinical Drugs

Keyword:  结节性甲状腺肿亚急性甲状腺炎鉴别诊断;
Abstract: 目的 探讨结节性甲状腺肿伴结节内出血与亚急性甲状腺炎的临床鉴别.方法 以3例结节性甲状腺肿伴结节内出血病例的诊治资料,回顾性分析其临床表现、诊断及治疗,并讨论其与亚急性甲状腺炎的临床鉴别要点.结果 3例患者在结节内出血急性期有突发甲状腺肿痛、发热、血沉升高、甲状腺摄131I降低以及一过性甲状腺功能异常等类似亚急性甲状腺炎的临床表现,通过甲状腺B超和甲状腺细针穿刺活检可确诊为结节性甲状腺肿伴结节内出血.其中 2例患者行手术治疗,另1例暂未行手术治疗,患者经随访甲状腺功能均恢复正常.结论 结节性甲状腺肿伴结节内出血急性期易误诊为亚急性甲状腺炎,两者的鉴别诊断可有效避免糖皮质激素的误用.
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