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目的提高对老年甲亢的认识,减少误诊率。方法回顾性分析误诊的19例老年甲亢的临床资料,探讨误诊原因。结果 12例病程初期于外院误诊,7例在院内误诊,误诊为冠心病7例,高血压性心脏病2例,风湿性心脏病1例,误诊为慢性胃炎1例,慢性结肠炎3例,特发性水肿1例,周期性瘫痪2例,病毒性黄疸型肝炎1例,误诊为糖尿病1例。误诊时间平均10个月。结论老年人甲亢症状常不典型,起病隐匿,应注意甲状腺功能检查。
Objective To raise awareness of elderly hyperthyroidism and reduce the rate of misdiagnosis. Methods The clinical data of 19 elderly patients with hyperthyroidism who were misdiagnosed were analyzed retrospectively to investigate the causes of misdiagnosis. Results The initial stage of 12 cases was misdiagnosed in the hospital, 7 cases were misdiagnosed in the hospital, 7 cases were misdiagnosed as coronary heart disease, 2 cases were hypertensive heart disease, 1 case was rheumatic heart disease, 1 case was misdiagnosed as chronic gastritis and 3 cases were chronic colitis. 1 case of idiopathic edema, 2 cases of periodic paralysis, 1 case of viral jaundice hepatitis and 1 case of misdiagnosis as diabetes. Misdiagnosis time average 10 months. Conclusion The elderly hyperthyroidism symptoms are often atypical, insidious onset, should pay attention to thyroid function tests.