Dominates the vocal cords

damage

internal branch

external branch

puberty, pregnancy or menopause

Early stage: symmetrical, diffuse swelling, soft texture, moving with swallowing

Development: Palpable nodules of varying sizes (collections of dilated follicles)

In the later stage, some nodules may develop secondary cysts, fibrosis or calcification.

trachea

esophagus

recurrent laryngeal nerve

Retrosternal goiter (immediate surgery)

Diffuse enlargement of both sides of the thyroid gland, hyperthyroidism, and often exophthalmos

First, I had nodular goiter for many years, and then developed hyperthyroidism, which is prone to myocardial damage.

(Pulse rate pulse pressure) -111

The normal value is ±10%, and ≥20% in hyperthyroidism (2/3/6 divisions)

2h＞25% or 24h＞50%

The peak of iodine uptake rate appears early

Moderate or above primary hyperthyroidism

Have symptoms of oppression

retrosternal goiter

Relapse after other treatments or difficulty taking medication for a long time

Those with the above indications in the early and second trimester of pregnancy

Adolescents; elderly patients or those who cannot tolerate surgery; symptoms are mild

examine

Medication preparation★

Difficulty breathing and suffocation (most severe, within 48 hours)

Recurrent laryngeal nerve injury

superior laryngeal nerve injury

hypoparathyroidism

thyroid storm