慢性淋巴细胞性甲状腺炎又称桥本氏病,是甲状腺炎症疾病中最多见的一种。近年来,报道日渐增多,农村基层医院也不少见。但由于对本病比较生疏,对其临床表现类型多样认识不足,易与其它甲状腺疾病相混淆,造成误诊误治,给患者造成终身痛苦,因此提高对本病的认识,实属必要。临床特点:慢性淋巴细胞性甲状腺炎患者约90％为女性,发病年龄多在40～60岁之间,儿童少年亦有发病。本病发展过程一般相当缓慢,可历经数年。最主要的临床表现是甲状腺呈弥漫性对称性肿大,因其起病隐袭,多在无意中发现。最突出的特点是甲状腺质地硬韧,如触橡皮,表面光滑或有细颗粒感,腺 Chronic lymphocytic thyroiditis, also known as Hashimoto’s disease, is the most common form of thyroid inflammation. In recent years, reports have been increasing, and rural primary hospitals are not uncommon. However, due to the unfamiliarity of this disease, the diversified understanding of their clinical manifestations, easily confused with other thyroid diseases, resulting in misdiagnosis and misdiagnosis, causing lifelong suffering to patients, therefore raising awareness of the disease is indeed necessary. Clinical features: About 90% of patients with chronic lymphocytic thyroiditis are women, the age of onset is more than 40 to 60 years old, children and adolescents also have the disease. The development of the disease is generally very slow, can be after several years. The main clinical manifestations of the thyroid was diffuse symmetry swelling, because of its insidious onset, and more inadvertently found. The most prominent feature is the tough thyroid texture, such as touch the rubber, the surface smooth or fine grainy, gland