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目的分析甲状腺机能减退症误诊为冠心病的原因。方法对２４例甲状腺机能减退症误诊为冠心病患者的临床症状、心电图、实验室检查及治疗转归进行综合分析，寻找误诊原因。结果其误诊原因为：把心电图ＳＴ—Ｔ改变简单地诊断为常见病冠心病，以偏概全，对本病缺乏了解，缺乏全面细致的查体。过于依赖他人诊断。结论心电图ＳＴ—Ｔ改变应警惕甲状腺机能减退症的可能，及时查Ｔ３、Ｔ４、ＴＳＨ可明确诊断。
Objective To analyze the causes of misdiagnosis of hypothyroidism as coronary heart disease. Methods A total of 24 cases of hypothyroidism misdiagnosed as patients with coronary heart disease clinical symptoms, electrocardiogram, laboratory tests and treatment of a comprehensive analysis to find the cause of misdiagnosis. The results of its misdiagnosed reasons: the ECG ST-T changes simply diagnosed as coronary heart disease common to partial general, the lack of understanding of the disease, the lack of comprehensive and detailed examination. Too reliance on others to diagnose. Conclusions ECG ST-T changes should be alert to the possibility of hypothyroidism, and timely detection of T3, T4, TSH can confirm the diagnosis.