论文部分内容阅读
[目的]探讨淡漠型甲状腺功能亢进症的误诊原因,提高临床诊断水平。[方法]回顾性分析我院自2004年10月～2010年10月误诊的27例淡漠型甲状腺功能亢进症患者的临床资料,总结误诊类型和原因。[结果]我院同期共诊断甲状腺功能亢进症164例,其中27例淡漠型误诊为其他疾病,误诊率为16.5%;27例患者中13例患者误诊为心血管疾病,7例患者误诊为植物神经功能紊乱,4例患者误诊为消化系统疾病,3例患者误诊为抑郁症。所有患者经系统抗甲治疗后,症状好转。[结论]淡漠型甲状腺功能亢进症常见于老年人,因症状不典型、基础疾病较多,容易与多种疾病发生混淆,对疑似病例尽早做相关辅助检查有助于确诊。
[Objective] To investigate the causes of misdiagnosis of indolent hyperthyroidism and to improve the clinical diagnosis. [Methods] The clinical data of 27 patients with indolent hyperthyroidism who were misdiagnosed in our hospital from October 2004 to October 2010 were retrospectively analyzed. The types and causes of misdiagnosis were summarized. [Results] A total of 164 cases of hyperthyroidism were diagnosed at the same period in our hospital, of which 27 were indifferently misdiagnosed as other diseases with a misdiagnosis rate of 16.5%; 13 of 27 patients were misdiagnosed as cardiovascular diseases and 7 were misdiagnosed as plants Neurological disorders, 4 patients misdiagnosed as digestive diseases, 3 patients misdiagnosed as depression. All patients with systemic anti-A treatment, the symptoms improved. [Conclusion] Indigestion type hyperthyroidism is common in the elderly. Because of the atypical symptoms, more basic diseases, it is easy to be confused with many kinds of diseases. It is helpful to diagnose the suspected cases as soon as possible.