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目的分析原发性甲状腺功能减退症(简称甲减)的误诊原因,提高诊断。方法对11例误诊的甲减患者的临床资料进行回顾性分析。结果误诊冠心病5例,误诊贫血2例,误诊肾病2例,误诊特发性水肿1例,误诊垂体瘤1例。误诊平均时间2.3 a,后根据病史、临床表现、辅助检查,确诊为甲减。结论甲减的临床表现多样,易造成误诊,应警惕该病的存在,必要时行甲状腺功能检查。
Objective To analyze the causes of misdiagnosis of primary hypothyroidism (Hypothyroidism) and to improve the diagnosis. Methods The clinical data of 11 patients with hypothyroidism were retrospectively analyzed. Results of 5 cases of misdiagnosed coronary heart disease, 2 cases of misdiagnosis of anemia, 2 cases of misdiagnosis of nephropathy, misdiagnosis of idiopathic edema in 1 case and misdiagnosis of pituitary tumor in 1 case. Misdiagnosis of the average time 2.3 a, according to medical history, clinical manifestations, auxiliary examination, diagnosed as hypothyroidism. Conclusion The clinical manifestations of hypothyroidism varied, easily lead to misdiagnosis, should guard against the existence of the disease, if necessary, thyroid function tests.