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急性甲状腺脓肿所致急性呼吸困难(作者译)

[Acute dyspnoea by acute thyroid abscess (author's transl)].

作者信息

Ducable G, Caillet J, Wattelet J, Testart J, Winckler C

出版信息

Anesth Analg (Paris). 1979;36(7-8):347-9.

PMID:316655
Abstract

Infection is extremely rare in the pathology of the thyroid gland. One case is reported, and a review of the literature has helped to emphasize some specific points. Acute thyroiditis can be misdiagnosed in its initial phase because a fever by itself may not lead to a through examination of the neck, even if a goitre is present; the latter being the site of infection in the case reported. Dyspnoea of laryngeal origin proves to be a dangerous complication of thyroid abscesses. Treatment is always surgical, linked with appropriate antibiotic therapy. In the long run, thyroid function is unaffected.

摘要

甲状腺病理中感染极为罕见。本文报告1例,并通过文献复习强调了一些要点。急性甲状腺炎在初期可能被误诊,因为即使存在甲状腺肿(本病例中的感染部位),单纯发热本身可能不会促使对颈部进行全面检查;喉部源性呼吸困难被证明是甲状腺脓肿的危险并发症。治疗始终是手术治疗,并辅以适当的抗生素治疗。从长远来看,甲状腺功能不受影响。

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