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目的分析1例以肝性脑病为首发症状的甲亢危象病例,以此为例阐述遇见临床表现复杂的病例,均应详细体检,多系统考虑鉴别诊断以避免漏诊或误诊。方法结合以肝性脑病为首发症状的甲亢危象患者的实例,对进行详细的检查、诊断与鉴别诊断分析。结果与结论认真询问患者的病史及体征,详细的体检,同时多系统考虑鉴别诊断,不局限于本专业,才可避免漏诊及误诊。
Objective To analyze a case of hyperthyroidism crisis with hepatic encephalopathy as the first symptom. To illustrate the cases of complicated clinical manifestations, detailed medical examination should be conducted and multiple systems should consider differential diagnosis to avoid misdiagnosis or misdiagnosis. Methods Combined with the cases of hyperthyroidism crisis with hepatic encephalopathy as the first symptom, detailed examination, diagnosis and differential diagnosis were conducted. Results and conclusions Seriously asked the patient’s medical history and signs, detailed physical examination, while multi-system differential diagnosis, not limited to the profession, to avoid missed diagnosis and misdiagnosis.