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甲状腺机能亢进症(简称甲亢)是一种影响多系统的进行性加重的内分泌疾病。不经治疗很少自然缓解。若误诊时间越久,病程延绵,受累系统则越多。据北京医学院第一附属医院、海军总医院、北京朝阳医院等单位的资料分析,甲亢误漏诊率约为14～30%。在广大基层医院由于对甲亢的认识不足及一些实验室检查尚未开展,故误漏诊率可能高于此值。为提高对甲亢的诊断水平,特将我院门诊部分误漏诊病例,作一分析,以便从中吸取教训。本文误漏诊病例,系指发病后门诊病历中一次或多次诊断错误者,后经详询病史及查体,始考虑本病,并全部有甲状腺吸~(181)碘(~(181)Ⅰ)异常(如甲状腺吸~(181)Ⅰ试验:盖革计数管直接测定法,24小时大于45%;闪烁探头远距离测定法,24小时大于60%,或高峰前
Hyperthyroidism (Hyperthyroidism) is an endocrine disorder that affects multiple systems of progressive exacerbations. Without treatment rarely natural relief. If the longer the time of misdiagnosis, duration of disease, the more involved systems. According to the data analysis of the First Affiliated Hospital of Beijing Medical College, Navy General Hospital and Beijing Chaoyang Hospital, the misdiagnosis rate of hyperthyroidism is about 14-30%. In the majority of grass-roots hospitals because of lack of understanding of hyperthyroidism and some laboratory tests have not yet carried out, so the missed diagnosis rate may be higher than this value. In order to improve the diagnosis of hyperthyroidism, especially in our hospital missed some misdiagnosed cases, for an analysis in order to learn from them. This misdiagnosis case refers to one or more diagnosis errors in the outpatient medical record after the onset of the disease. After detailed examination of the medical history and physical examination, the disease was considered and all the thyroid uptake of ~ (181) I ) Abnormalities (eg thyroid suction ~ (181) I test: Geiger counter direct determination method, 24 hours greater than 45%; scintillation probe remote measurement, 24 hours more than 60%, or before the peak