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本文报告我院1983年1月～1994年12月共18例老年人甲亢误诊情况,并分析其原因。1 临床资料 本组18例,其中女12例,男6例,年龄60～73岁,平均年龄66.7岁。误诊为各种器质性心脏病12例;慢性结肠炎4例;神经症(神经官能症)2例。误诊时间45天～2年。现择典型病例分析如下:1.1 以心律失常为突出表现而误诊:例1.男,61岁。反复胸闷、心悸、乏力3月余,劳累后症状加重。近10天来自感低热,上楼梯时感气急,无心前区疼
This article reports from January 1983 to December 1994 in our hospital a total of 18 cases of misdiagnosis of hyperthyroidism in elderly patients, and analyze the causes. 1 Clinical data 18 patients in this group, of which 12 were women, 6 males, aged 60 to 73 years, mean age 66.7 years. Misdiagnosed as various organic heart disease in 12 cases; 4 cases of chronic colitis; neurosis (neurosis) in 2 cases. Misdiagnosis time 45 days to 2 years. Typical cases are now selected as follows: 1.1 misdiagnosis of arrhythmia as a prominent manifestation: 1. Male, 61 years old. Repeated chest tightness, palpitations, fatigue more than 3 months, tired after the symptoms worsened. Nearly 10 days from the feeling of fever, up the stairs when the sense of urgency, no pain in front of area