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甲状腺机能亢进(简称甲亢)是由于甲状腺病态地分泌甲状腺激素过多所致的疾病。甲亢可见于任何年龄,以20～50岁多见,但50岁以上者也非罕见,且症状多不典型,特别是同时伴有其他疾病时其甲亢症状易被掩盖而漏诊。我们在临床中发现6例漏诊或被误诊为其他疾病的不典型甲亢病人,现报告如下。1 病例介绍例1,男患58岁,以不明原因的恶心呕吐1周而入院,该患无明显诱因出现恶心呕吐,并有情绪焦虑不安,其呕吐为胃内容物,每日呕吐十几次,由于不能进食,入院后做上消化道钡透正常,初步诊断为胃肠植物神经功能紊乱,肌注灭吐灵可暂缓解,治疗4天,仍有恶心呕吐,且无减轻。查体:
Hyperthyroidism (referred to as hyperthyroidism) is due to the thyroid disease caused by excessive thyroid hormone secretion. Hyperthyroidism can be seen at any age, 20 to 50 years old more common, but those over 50 years of age are not uncommon, and the symptoms are not typical, especially when accompanied by other diseases, hyperthyroidism symptoms easily missed and missed. We found in the clinical 6 cases of missed diagnosis or misdiagnosed as atypical hyperthyroidism patients with other diseases, are as follows. Case description 1 cases, male 58-year-old, vomiting for unknown reasons for 1 week and admission, the patient was no obvious incentive to nausea and vomiting, and anxiety and anxiety, the vomit for the stomach contents of vomiting a dozen times a day , Because they can not eat, do the upper gastrointestinal Barium through the normal admission, the initial diagnosis of gastrointestinal autonomic dysfunction, intramuscular Exotoxin can be temporarily relieved, treatment 4 days, there is still nausea and vomiting, and no reduction. Physical examination: