桥本甲状腺炎合并多种疾病1例

1 Case of Hashimoto Thyroiditis Combined with Many Diseases

[目的]通过分析桥本甲状腺炎合并多种疾病的辨证论治过程,为临床医生提供诊疗思路及用药经验。[方法]通过对门诊诊疗的1例桥本甲状腺炎合并多种疾病的患者一般情况、诊疗过程、对症治疗及相关文献的回顾等描述,介绍吴敏教授治疗该患者的临床经验。[结果]该患者有桥本甲状腺炎,并先后诊断为肥胖症、高脂血症、高胰岛素血症、亚临床甲状腺机能减退、甲状腺结节及2型糖尿病等多种疾病,吴敏教授予以中西医结合治疗,患者病情得到控制并保持相对稳定。[结论]中西医联合治疗桥本甲状腺炎合并上述疾病疗效较好,患者对症状的改善及治疗结果也较满意。

Objective] To analyse the course of treatment based on differentiation of signs of Hashimoto thyroiditis combined with many diseases, offering treating thought and medication experiences. [Method] Trace back and state the relative documents about the general conditions, diagnosis and therapy, symptoms-pointed treatment of 1 case of Hashimoto thyroiditis combined with many diseases, introducing Pro. Wumin＆#39;s clinical experience in treating the patient. [Result] The patient was early or late diagnosed as fatness, hyperlipemia, hyperinsulinemia, sub-clinical Hypothyrea, thyroid nodule and type-2 diabetes, Pro. Wumin combined TCM with WM, the patient was control ed the diseases and kept stable. [Conclusion] Combination of TCM and WM treating Hashimoto thyroiditis accompanied with diseases above has good cure effect, the patient is satisfied with the improvement and result.