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目的分析不典型甲状腺功能减退症的临床表现,作为诊断的依据,减少误诊和漏诊情况的发生。方法随机选取2012年2月~2013年4月期间我院收治的30例不典型甲状腺功能减退症患者作为本组研究的观察对象,对所有患者的诊疗情况进行回顾性分析。结果在选取的30例患者中,误诊为消化系统疾病的患者6例,误诊为心血管疾病的患者8例,误诊为神经系统疾病的患者7例,后均通过甲状腺功能检查后确诊为甲状腺功能减退症,并给予左甲状腺素片替代治疗,临床症状均得到不同程度的缓解。结论甲状腺功能减退症由于其临床症状缺乏特异性,经常被误诊为消化、神经、泌尿、循环、内分泌等系统疾病,贻误治疗时机,因此要提高对甲状腺功能减退症的认识,及时进行甲状腺功能检测,以及时发现并治疗疾病。
Objective To analyze the clinical manifestations of atypical hypothyroidism as a basis for diagnosis and to reduce the occurrence of misdiagnosis and missed diagnosis. Methods A total of 30 atypical hypothyroidism patients admitted to our hospital from February 2012 to April 2013 were selected as the observation objects in this study. The diagnosis and treatment of all patients were retrospectively analyzed. Results Among the 30 patients selected, 6 were misdiagnosed as digestive diseases, 8 were misdiagnosed as cardiovascular diseases, 7 were misdiagnosed as neurological diseases, and all were diagnosed as thyroid function after thyroid function test Hypothyroidism, and given left thyroid hormone replacement therapy, clinical symptoms have been varying degrees of relief. Conclusions Hypothyroidism is often misdiagnosed as systemic diseases such as digestive, neurological, urological, circulatory and endocrine diseases due to the lack of specificity of its clinical symptoms. Therefore, it is necessary to improve the understanding of hypothyroidism and prompt thyroid function test , In time to find and cure the disease.