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特发性甲状旁腺功能低下症(特发性甲旁低)的特点为甲状旁腺激素(PTH)的合成减少或缺乏,靶器官的反应正常。该病病因不明,可能与自身免疫机制有关,部分病人有家族史。本院从1956年开院以来共收治了11例特发性甲旁低,有7例被误诊为其他疾病,不同程度地延误了治疗。本文就误诊的病例进行分析,以便从中吸取教训,提高诊断水平。1、有农药接触史,误诊为“有机磷中毒”。患者田某某,男,32岁。以发作性上肢抽搐9月余主诉入院。10个月前,患者曾喷洒有机磷农药,劳动后曾用清水冲洗双手,颜面。
Idiopathic hypoparathyroidism (idiopathic hypoparathyroidism) is characterized by reduced or absence of parathyroid hormone (PTH) synthesis and normal target organ response. The etiology of the disease is unknown, may be related to autoimmune mechanisms, some patients have a family history. Since our hospital was opened in 1956, 11 cases of idiopathic hypothyroidism have been treated, 7 cases have been misdiagnosed as other diseases, and the treatment has been delayed to varying degrees. In this paper, misdiagnosed cases were analyzed in order to learn from them and improve the diagnostic level. 1, history of exposure to pesticides, misdiagnosed as “organophosphate poisoning.” Tian Moumou patients, male, 32 years old. In order to seizure upper limb twitch more than 9 months admitted to hospital. Ten months ago, the patient had been sprayed with organophosphorus pesticide, rinse his hands with water after work, face.