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目的探讨腺垂体功能减退症误诊情况及原因分析。方法对9例腺垂体功能减退症误诊病例的临床资料进行分析。结果 9例误诊病例中,误诊为慢性胃炎1例,肝炎2例,脑炎1例,肾病综合征1例,急性心梗1例,贫血1例。漏诊为电解质紊乱1例,肾上腺皮质功能减退1例。结论腺垂体功能减退症临床症状及体征多,应通过详细询问病史、加深对疾病的认识及拓展临床思维等以减少误诊。
Objective To investigate the misdiagnosis status and cause analysis of hypopituitarism. Methods The clinical data of 9 cases of misdiagnosis of hypopituitarism were analyzed. Results Of the 9 misdiagnosed cases, 1 was misdiagnosed as chronic gastritis, 2 as hepatitis, 1 as encephalitis, 1 as nephrotic syndrome, 1 as acute myocardial infarction and 1 as anemia. Misdiagnosed as electrolyte imbalance in 1 case, adrenal insufficiency in 1 case. Conclusion There are many clinical symptoms and signs of hypopituitarism in hypopituitarism. It is necessary to reduce the misdiagnosis by asking history, deepening the understanding of the disease and expanding clinical thinking.