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目的分析亚急性甲状腺炎的临床误诊原因,对亚急性甲状腺炎尽早作出诊断,降低误诊率。方法回顾性分析亚急性甲状腺炎20例的临床资料。结果 20例中误诊为上呼吸道感染9例,卡他性中耳炎3例,甲亢6例,甲减2例。结论由于亚急性甲状腺炎早期症状不典型,临床变化复杂,易造成误诊,原因多为问诊不详,查体不细,认识不足和辅助检查欠准确,因此提高对本病临床特征的认识,全面体检和辅助检查,可避免此病的误诊。
Objective To analyze the causes of misdiagnosis of subacute thyroiditis and to make early diagnosis of subacute thyroiditis and reduce the rate of misdiagnosis. Methods The clinical data of 20 patients with subacute thyroiditis were retrospectively analyzed. Results Twenty cases were misdiagnosed as upper respiratory tract infection in 9 cases, catarrhal otitis media in 3 cases, hyperthyroidism in 6 cases and hypothyroidism in 2 cases. Conclusion Due to the atypical early symptoms of subacute thyroiditis and complicated clinical changes, it is easy to cause misdiagnosis. The reasons are mostly unknown antecedents, inaccurate physical examination, inadequate knowledge and inaccurate auxiliary examinations, thus raising awareness of the clinical features of the disease and comprehensively Physical examination and auxiliary examination can avoid misdiagnosis of the disease.