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原发性甲状腺机能减退症(简称甲减),因起病隐匿、发展缓慢,病情影响全身多系统,临床上首诊时极易误诊。近10年来,共收治甲减24例,入院时误诊22例。现将误诊原因分析如下。 1.临床资料 24例甲减中,男4例,女20例,男女之比为1:5。年龄45～87岁,平均69±15岁。病程4～15年。临床症状及体征,低基础代谢率症候群:患者均比正常同龄人不耐寒、不怕热、出汗少,体温均在37℃以下,其中15例体温不升。神经精神症状:患者均有反应迟钝,理解力和记忆力减退,头昏嗜睡等。其中3例出现幻视幻听等精神
Primary hypothyroidism (referred to as hypothyroidism), due to occult onset, slow development, the disease affects the whole body and multiple systems, clinically the first diagnosis can be easily misdiagnosed. Over the past 10 years, received a total of 24 cases of hypothyroidism, admission misdiagnosed 22 cases. Misdiagnosis is now analyzed as follows. 1. Clinical data 24 cases of hypothyroidism, 4 males and 20 females, male to female ratio of 1: 5. Aged 45 to 87 years, mean 69 ± 15 years. Course of 4 to 15 years. Clinical symptoms and signs, low basal metabolic rate syndrome: patients than normal peers are not cold, not afraid of fever, less sweat, body temperature were below 37 ℃, of which 15 cases of body temperature does not rise. Neuropsychiatric symptoms: patients have unresponsive, understanding and memory loss, drowsiness and drowsiness. Three cases of visual hallucinations and other spiritual hallucinations