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目的:报告并分析甲状腺功能减退性心脏病(hypothyroid heart disease)误诊的原因。方法:对8例误诊为病毒性心肌炎的甲状腺功能减退性心脏病患者的临床表现、心电图、实验室检查、治疗与预后进行分析,探讨误诊的原因。结果:甲状腺功能减退性心脏病的临床表现除一般表现外,多以心血管系统表现为主,易误诊。结论:对甲状腺功能减退性心脏病认识不足是导致甲状腺功能减退性心脏病患者误诊的主要原因。
Objective: To report and analyze the causes of misdiagnosis of hypothyroid heart disease. Methods: The clinical manifestations, electrocardiogram, laboratory tests, treatment and prognosis of 8 patients with hypothyroidism who were misdiagnosed as viral myocarditis were analyzed to explore the causes of misdiagnosis. Results: In addition to the general performance of clinical manifestations of hypothyroidism, mostly in the performance of cardiovascular system, easily misdiagnosed. Conclusion: Insufficient understanding of hypothyroidism is the main cause of misdiagnosis in patients with hypothyroidism.