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甲状腺功能减退症(以下简称甲减)是指甲状腺激素的合成、分泌或生物效应不足所致的一组内分泌疾病。因其起病隐匿、发展缓慢、临床表现多样化,可表现为多个系统的症状,极易误诊。特别是特殊人群老年人伴有多种慢性疾病存在及相互影响结果,常因缺乏特异的症状和体征,且亚临床甲减的存在,临床易出现误诊和漏诊[1],为了吸取教训,减少误诊,笔者跟随导师陈荣将我院2011年1月~2013年1月收治的20例典型误诊病例分析并报道如下。1临床资料1.1一般资料:本组患者均经临床及实验室检查
Hypothyroidism (hereinafter referred to as hypothyroidism) refers to the thyroid hormone synthesis, secretion or biological effects caused by a group of endocrine disorders. Because of its occult onset, slow development, clinical manifestations of diversity, can be manifested as multiple system symptoms, easily misdiagnosed. In particular, elderly people in special populations are associated with the existence and interaction of many chronic diseases. They often misdiagnosed and missed diagnosis due to the lack of specific symptoms and signs and the existence of subclinical hypothyroidism [1]. In order to learn the lesson and reduce Misdiagnosis, the author followed the mentor Chen Rong to our hospital from January 2011 to January 2013 admitted to 20 cases of typical misdiagnosis and reported as follows. 1 clinical data 1.1 General Information: This group of patients by clinical and laboratory tests