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目的分析老年性原发性甲状腺功能减退症(简称甲减)的临床特点,旨在提高医务人员临床诊断水平。方法回顾性分析2001年1月至2010年1月兰州军区乌鲁木齐总医院老年病科对于老年甲减患者误诊的临床资料。结果老年性甲减起病隐袭,临床表现多样复杂,误诊率较高。结论老年人由于生理机能退化,或是基础疾病较多,有时会把一些甲减症状错误的认识为正常老化表现,或是其他慢性疾病,同时由于缺乏典型症状,临床表现多样,极易造成误诊、误治,需引起临床医生的高度重视。
Objective To analyze the clinical features of senile primary hypothyroidism (Hypothyroidism) in order to improve the clinical diagnosis of medical staff. Methods The clinical data of misdiagnosis of elderly hypothyroidism from January 2001 to January 2010 in Department of Geriatrics, Urumqi General Hospital of Lanzhou Military Region were retrospectively analyzed. Results Hypothyroidism insomnia, clinical manifestations of diverse and complex, high misdiagnosis rate. Conclusions Elderly people may sometimes recognize some hypothyroidism as normal aging or other chronic diseases due to the deterioration of their physiological functions or their underlying diseases. Due to the lack of typical symptoms, their clinical manifestations may easily lead to misdiagnosis , Mistakenly rule out the need for clinicians to attach great importance.