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我科曾误诊老年甲状腺机能减退症3例,现举1例分析如下。 患者 女,62岁,10年前觉下午全身乏力,休息后可缓解,未治疗。30天前活动后胸闷、胸痛,持续3～5分钟可缓解。有时心慌、头晕、恶心,无呕吐,但经常畏寒,食欲不振。无发热,有时嗜睡。既往身体健康。查体:血压20/12kPa,体温36.4℃。精神不振,眼睑水肿,甲状腺无肿大。心率5O次/min,心律整齐,心音低钝。肝脾未扪及,双下肢轻度凹陷性水肿。心电图示:窦性心动过缓,
My department had misdiagnosed elderly hypothyroidism in 3 cases, we now give a case analysis as follows. Female patient, 62 years old, 10 years ago I felt malaise in the afternoon, relieved after rest, untreated. Thirty days after the activity chest tightness, chest pain, sustained 3 to 5 minutes can be alleviated. Sometimes palpitation, dizziness, nausea, vomiting, but often chills, loss of appetite. No fever, sometimes lethargy. In the past, good health. Physical examination: blood pressure 20 / 12kPa, body temperature 36.4 ℃. Insanity, eyelid edema, thyroid without swelling. Heart rate 5O times / min, heart rhythm, low heart sound blunt. Liver and spleen are palpable, mild depression of both lower extremity edema. ECG shows: sinus bradycardia,