摘要
我院收治 40例亚急性甲状腺炎 (Subacutethyroiditis,简称亚甲炎 ) ,其中 3例合并糖尿病 ,均属重症患者 ,发病前均先有上呼吸道感染 ,后甲状腺部位疼痛。甲状腺肿大、结节感 ,质中坚韧 ,触痛明显 ,血沉明显增快 ,甲状腺摄131碘率明显降低 ,多见于 2 0～ 40岁成人女性 ,男∶女为 1∶5 6 7。 3例合并糖尿病 ,其亚甲炎症状加重 ,病程长 ,加用皮质激素时致血糖增高 ,这时需加大降糖药用量或改用胰岛素治疗或加大胰岛素用量 ,等亚甲炎治愈后再调整降糖方案。
Forty cases of subacute thyroiditis , including 3 complicated with severe diabetes, were admitted. All the cases complained of upper respiratory tract infection before the appearance of local pain in the thyroid section. Swollen, nodular, solid and tender thyroid gland and remarkably increased blood sedimentation rate were found more often in female adults at the age of 20 to 40years (male female ratio being 1∶5.67).In the three diabetes complicated cases of prolonged course of ailments, additional adrenocortical steroid would further elevate blood sugar ,and so the increased dose of hypoglycemic agents or introduction of insulin therapy , even in increased dose was practiced. The dosage adjustment of hypoglycemic agents was not made until after subacute thyroiditis was cured.
出处
《皖南医学院学报》
CAS
2000年第3期188-189,共2页
Journal of Wannan Medical College
