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目的探讨原发性甲状腺机能减退症的特床特征及误诊原因。方法回顾分析60例患者的临床资料。结果随访1年后心悸、胸闷、关节疼痛、心力衰竭未再发,乏力、纳差、贫血、记忆力下降、内分泌失调等症状明显改善。结论原发性甲状腺功能减退症是由甲状腺本身疾病所致血清中甲状腺素不足而表现出的临床综合征,本病起病隐匿,临床表现复杂多样,女性较男性发病率高。一旦怀疑甲减需进行相关的实验室检查,及时确诊,降低误诊率。
Objective To explore the special bed features and misdiagnosis of primary hypothyroidism. Methods The clinical data of 60 patients were retrospectively analyzed. Results One year after follow-up, palpitations, chest tightness, joint pain, heart failure without recurrence, fatigue, anorexia, anemia, memory loss, endocrine disorders and other symptoms were significantly improved. Conclusions Primary hypothyroidism is a clinical syndrome manifested by the lack of thyroxine in the serum of the thyroid itself. The onset of the disease is insidious, the clinical manifestations are complex and diverse, and the incidence of the female is higher than that of the male. Once suspected hypothyroidism need to carry out the relevant laboratory tests, timely diagnosis, reduce the misdiagnosis rate.