CAJ | 학술논문

目的提高对以高热为主诉的亚急性甲状腺炎的认识。方法对以高热为主诉无明显甲状腺肿大的亚急性甲状腺炎患者进行一回顾性分析。结果患者临床表现为高热,以中年女性多见，夏季多发,发病初期常有明确的呼吸道感染史, T3、T4升高，但甲状腺的放射性碘摄取率低于正常，血沉增快。结论对于不明原因发热的患者，尤其是中年妇女，虽然无明显甲状腺肿大，亦应认真进行全身体检，特别是甲状腺的检查,同时常规查血沉、T3、T4,必要时检查甲状腺的放射性碘摄取率、B型超声多普勒、细针抽吸活检等，以免贻误诊治。
목적제고대이고열위주소적아급성갑상선염적인식。방법대이고열위주소무명현갑상선종대적아급성갑상선염환자진행일회고성분석。결과환자림상표현위고열,이중년녀성다견，하계다발,발병초기상유명학적호흡도감염사, T3、T4승고，단갑상선적방사성전섭취솔저우정상，혈침증쾌。결론대우불명원인발열적환자，우기시중년부녀，수연무명현갑상선종대，역응인진진행전신체검，특별시갑상선적검사,동시상규사혈침、T3、T4,필요시검사갑상선적방사성전섭취솔、B형초성다보륵、세침추흡활검등，이면이오진치。
Objective To improve the understanding of subacute thyroiditis with high fever and without obvious enlargement of the thyroid gland. Methods Subacute thyroiditis patients with high fever without obvious enlargement of the thyroid gland were retrospectively analyzed. Results The clinical manifestations of patients with high fever, a middle-aged women and summer see more ,early onset of patients often have a clear history of respiratory tract infection, T3, T4 were increased,but the radioactive iodine uptake rate of thyroid was below normal, ESR was normal. Conclusion For unexplained fever patients,especial y the middle-aged women, although no obvious enlargement of the thyroid gland, should also be careful y physical examination,especial y thyroid examination, and routine check ESR, T3, T4,when necessary,check thyroid radioactive iodine uptake rate,B Doppler ultrasound, fine needle aspiration biopsy and so on, lest delaying diagnosis and treatment.