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机构地区:[1]南方医科大学附属小榄医院普外科,广东中山528415
出 处:《临床耳鼻咽喉头颈外科杂志》2016年第10期832-833,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery
摘 要:患者,女,43岁,因发现颈前肿物2周入院。入院前2周,患者无意间发现颈前区肿物,自觉无痛,无颈部异物感,无声音嘶哑,无吞咽困难及饮水呛咳。发病以来,无头晕、乏力,无手颤、怕热多汗、烦躁易怒,无心悸,无发热、寒战,无恶心、呕吐,无胸闷、气促等不适。门诊行甲状腺彩超提示:甲状腺大小正常,可见散在多个低回声团,较大实性回声团约12mm×7mm,位于右叶中部,边界尚清,The patient find the nodule unintentionally for 2weeks,painless,no voice hoarse,no swallowing and drinking difficulties.no dizziness,no fatigue,no tremor of the hand,no irritability,no palpitations,no fever chills,no nausea,no vomiting,no chest tightness,no shortness of breath and other discomfort.Ultrasonic report:The size of thyroid was normal,and was scattered in the middle of the right lobe with a large solid echo of about12mm×7mm.The left lobe of the thyroid gland was found to have an echo of the size of about 10mm×7mm,the shape was irregular,the boundary was unclear,lymph nodes with no obvious swelling in the neck.CDFI:right lobe of the thyroid low echo mass surrounding the actuate color flow,short rod color flow;left thyroid lobe inferior echo mass around and see the short rod color flow.Diagnose:nodular goiter;subacute thyroiditis;Hornor′s symptoms.
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