To assess the pharyngeal presentations and the diagnostic value of thyroid SPECT and thyroid fine needle aspiratory biopsy (FNAB) in subacute thyroiditis (SAT) as seen initially in ENT department, 30 patients, during ...To assess the pharyngeal presentations and the diagnostic value of thyroid SPECT and thyroid fine needle aspiratory biopsy (FNAB) in subacute thyroiditis (SAT) as seen initially in ENT department, 30 patients, during the course of SAT, were examined for pharyngeal symptoms and tested for serum T 3, T 4 level. The thyroid SPECT imaging or thyroid FNAB were performed. Our results showed that, of the 30 patients, 21 had sore throat of various degrees, and 9 had abnormal sensation of throat. Six were diagnosed as having SAT by only SPECT, in the remaining 24, the final diagnoses was established by SPECT combined with FNAB. Two of them were finally diagnosed as having SAT by trial treatment with oral prednisone. It is concluded that sore throat and abnormal sensation of pharynx are the important presentations of SAT, and thyroid SPECT imaging and thyroid FNAB are valuable in diagnosing SAT.展开更多
Adrenocortical hormone (ACH) has antiinflammatory and antiallergic actions, changes stress state and controls the attack of some severe and obstinate diseases. The treatment of chronic diseases with ACH often leads to...Adrenocortical hormone (ACH) has antiinflammatory and antiallergic actions, changes stress state and controls the attack of some severe and obstinate diseases. The treatment of chronic diseases with ACH often leads to its dependence; especially oral administration of ACH for a long time is liable to inhibit the function of hypothalamus-pituitary-adrenocortical-thymic axis (HPAT), and results in the hypo-reservation of adrenal cortex. Hence, sudden ACH withdrawal or decrease often causes the disease recurrence, even adrenocortical crisis. Academician Shen Ziyin has a wealth of clinical experience in both the withdrawal and reduction of ACH and the keeping of therapeutical effectiveness to form his unique remedy in the application of drugs. Shen's rich experience is described as follows.展开更多
一、临床资料
患者,男性,43岁,运-5飞行员,总飞行时间2400 h.因“双耳疼痛伴耳闷7d”于2009年“月27日入院.患者自述于7d前受凉后出现鼻塞、流涕,轻度耳闷,无明显耳痛,体温正常,未行特殊治疗,次日飞行后感耳痛、耳闷,以“急性卡他性中...一、临床资料
患者,男性,43岁,运-5飞行员,总飞行时间2400 h.因“双耳疼痛伴耳闷7d”于2009年“月27日入院.患者自述于7d前受凉后出现鼻塞、流涕,轻度耳闷,无明显耳痛,体温正常,未行特殊治疗,次日飞行后感耳痛、耳闷,以“急性卡他性中耳炎”收入五官科.入院时查体:体温36.5℃,脉搏70次/min,血压110/60 mm Hg(1 mm Hg=0.133 kPa).鼻黏膜轻度充血,双下鼻甲轻度肿大,双耳鼓膜轻度充血、稍内陷、动度欠佳,韦伯尔试验居中,双侧咽鼓管欠通畅.甲状腺不大.心、肺、腹部及神经系统查体末见异常.展开更多
文摘To assess the pharyngeal presentations and the diagnostic value of thyroid SPECT and thyroid fine needle aspiratory biopsy (FNAB) in subacute thyroiditis (SAT) as seen initially in ENT department, 30 patients, during the course of SAT, were examined for pharyngeal symptoms and tested for serum T 3, T 4 level. The thyroid SPECT imaging or thyroid FNAB were performed. Our results showed that, of the 30 patients, 21 had sore throat of various degrees, and 9 had abnormal sensation of throat. Six were diagnosed as having SAT by only SPECT, in the remaining 24, the final diagnoses was established by SPECT combined with FNAB. Two of them were finally diagnosed as having SAT by trial treatment with oral prednisone. It is concluded that sore throat and abnormal sensation of pharynx are the important presentations of SAT, and thyroid SPECT imaging and thyroid FNAB are valuable in diagnosing SAT.
文摘Adrenocortical hormone (ACH) has antiinflammatory and antiallergic actions, changes stress state and controls the attack of some severe and obstinate diseases. The treatment of chronic diseases with ACH often leads to its dependence; especially oral administration of ACH for a long time is liable to inhibit the function of hypothalamus-pituitary-adrenocortical-thymic axis (HPAT), and results in the hypo-reservation of adrenal cortex. Hence, sudden ACH withdrawal or decrease often causes the disease recurrence, even adrenocortical crisis. Academician Shen Ziyin has a wealth of clinical experience in both the withdrawal and reduction of ACH and the keeping of therapeutical effectiveness to form his unique remedy in the application of drugs. Shen's rich experience is described as follows.
文摘一、临床资料
患者,男性,43岁,运-5飞行员,总飞行时间2400 h.因“双耳疼痛伴耳闷7d”于2009年“月27日入院.患者自述于7d前受凉后出现鼻塞、流涕,轻度耳闷,无明显耳痛,体温正常,未行特殊治疗,次日飞行后感耳痛、耳闷,以“急性卡他性中耳炎”收入五官科.入院时查体:体温36.5℃,脉搏70次/min,血压110/60 mm Hg(1 mm Hg=0.133 kPa).鼻黏膜轻度充血,双下鼻甲轻度肿大,双耳鼓膜轻度充血、稍内陷、动度欠佳,韦伯尔试验居中,双侧咽鼓管欠通畅.甲状腺不大.心、肺、腹部及神经系统查体末见异常.
