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甲状腺机能亢进症症状起源于神经应激性增高和代谢机能亢进。典型病例易于诊断,而少数早期、轻症、老年儿童和特殊类型病例因症状不典型或仅以某一系统症状突出,常易造成误诊。整理我院1990年以来所诊治甲亢32例资料,其中4例出现不同程度误诊,占12.5％,为提高对不典型病例的认识,现总结报道如下。 1 临床资料 4例误诊患者中,女性3例,男性1例,年龄均在50岁以上。4例中特殊类型病例3例(T_3型、甲亢性心脏病和淡漠型各1例)。误诊时间1～6月不等。误诊为更年期综合症2例,冠心病充血性心力衰竭1例,脊髓侧束硬化症1例。
Hyperthyroidism symptoms originate in increased nervous stress and metabolic hyperfunction. Typical cases easy to diagnose, and a small number of early, mild, elderly children and special types of cases due to atypical symptoms or symptoms of only a prominent system, often easy to cause misdiagnosis. In our hospital since 1990, 32 cases of hyperthyroidism diagnosed and treated, of which 4 cases were misdiagnosed to varying degrees, accounting for 12.5%, in order to improve awareness of atypical cases, are summarized as follows. 1 clinical data 4 cases of misdiagnosed patients, 3 females, 1 male, aged over 50 years of age. In 4 cases, 3 cases were special type (T_3 type, 1 case of hyperthyroid heart disease and indifferent type). Misdiagnosis time from 1 to 6 months. Misdiagnosed as climacteric syndrome in 2 cases, coronary heart disease congestive heart failure in 1 case, spinal cord sclerosis in 1 case.