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目的探讨2型糖尿病合并甲状腺功能减退症的诊断和治疗,以减少误诊漏诊。方法对2009年1月至2012年5月获嘉县人民医院及获嘉县中医院收治的30例糖尿病合并甲状腺功能减退症患者的资料进行回顾性分析。结果30例患者均为入院后常规检查发现血清促甲状腺激素异常,糖尿病发病时间为1个月～20年。在确诊时水肿、体质量增加23例,乏力、怕冷22例,反应迟钝、记忆力减退6例,腹胀、便秘24例,胸闷、心功能不全4例,打鼾、声音变粗而低26例,皮肤干燥、毛发稀疏3例,高脂血症25例,其中误诊为糖尿病肾病20例,冠心病3例,胃肠自主神经病变8例。结论 2型糖尿病合并甲状腺功能减退症发病率高,易误诊漏诊,应常规检查甲状腺功能。
Objective To investigate the diagnosis and treatment of type 2 diabetes with hypothyroidism to reduce misdiagnosis and missed diagnosis. Methods The data of 30 patients with hypothyroidism and diabetes mellitus admitted to the People’s Hospital of Huaxia County and the Hospital of Traditional Chinese Medicine from January 2009 to May 2012 were retrospectively analyzed. Results All the 30 patients were found to have abnormal serum thyrotropin levels after routine admission. The onset time of diabetes ranged from 1 month to 20 years. In the diagnosis of edema, weight gain in 23 cases, fatigue, cold in 22 cases, unresponsive, memory loss in 6 cases, abdominal distension, constipation in 24 cases, chest tightness, heart failure in 4 cases, snoring, sound thicker and lower in 26 cases, Dry skin, sparse hair in 3 cases, 25 cases of hyperlipidemia, of which misdiagnosed as diabetic nephropathy in 20 cases, 3 cases of coronary heart disease, gastrointestinal autonomic neuropathy in 8 cases. Conclusion Type 2 diabetes combined with high incidence of hypothyroidism, misdiagnosis and missed diagnosis, thyroid function should be routinely checked.