论文部分内容阅读
目的探讨原发性甲状腺功能减退症(甲减)误诊的原因。方法回顾性分析本院被误诊的23例甲减患者的临床资料。结果误诊为冠心病、心衰6例,误诊为肾功能不全5例,误诊为功能性消化不良的3例,误诊为慢性肝病2例,误诊为结核性心包炎2例,误诊为泌尿系感染1例,误诊为慢性胃炎1例,误诊为肝炎1例,误诊为高脂血症1例,误诊为特发性水肿1例。结论甲减的临床表现多样化,体征不典型,误诊率高,临床医生应充分认识,提高诊断率。
Objective To investigate the causes of misdiagnosis of primary hypothyroidism (hypothyroidism). Methods The clinical data of 23 patients with hypothyroidism who were misdiagnosed in our hospital were retrospectively analyzed. The results were misdiagnosed as coronary heart disease, heart failure in 6 cases, misdiagnosed as renal insufficiency in 5 cases, misdiagnosed as functional dyspepsia in 3 cases, misdiagnosed as chronic liver disease in 2 cases, misdiagnosed as tuberculous pericarditis in 2 cases, misdiagnosed as urinary tract infection 1 case was misdiagnosed as chronic gastritis in 1 case, misdiagnosed as hepatitis in 1 case, misdiagnosed as hyperlipidemia in 1 case and misdiagnosed as idiopathic edema in 1 case. Conclusion The clinical manifestations of hypothyroidism are diverse, with atypical signs and high misdiagnosis rates. Clinicians should fully understand and improve the diagnosis rate.