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1 病例报告男,67岁。因肺内感染在呼吸内科住院期间,查体发现双侧甲状腺肿大,经消炎治疗,肺内感染治愈后转外科。查体:体温36.4℃,心率82/min,血压14.0/9.33kPa(105/70mmHg)。双侧甲状腺肿大,左上极、右下极各可触及一结节,直径各为2.5cm和3.0cm。随吞咽上下移动,表面光滑,质中等硬,无压痛。未闻及有血管鸣音。左侧下极伸入胸骨后。二次做甲状腺五项检查,均在正常数值范围内。甲状腺核素扫描:甲状腺显影清晰,左叶位置下移,形态不规则,右下极、左上极呈放射性分布减少区。胸部CT检查:前
1 Case report Male, 67 years old. Due to an infection of the lungs during hospitalization in the Department of Respiratory Medicine, the examination revealed bilateral goiters, which were treated with anti-inflammatory treatment and cured after the infection of the lungs. Physical examination: Body temperature 36.4°C, heart rate 82/min, blood pressure 14.0/9.33 kPa (105/70 mmHg). Bilateral goiter, left upper pole, right lower pole can reach a nodule, the diameter of 2.5cm and 3.0cm. Moves up and down with the swallow, smooth surface, medium hard, no tenderness. No sound of blood vessels was heard. The left lower pole extends into the sternum. Secondary thyroid five examinations were within the normal range. Thyroid radionuclide scan: The thyroid gland was clearly imaged, the left lobe was down, and the morphology was irregular. The right lower pole and the left upper pole showed radioactive reduction areas. Chest CT examination: before