甲状腺机能减退症(简称甲减),严重时称粘液性肿。本病起病缓慢、病程长,临床表现有时突出某一系统的症状。加之对本病的认识不足,故易误诊。今将我们所遇12例长期误诊病人列于表,并对其中5例详加分析,以探讨其误诊原因。 1.误诊为再生不良性贫血例1 1961年因乏力、面黄、水肿,诊断为营养不良性贫血。1975年以来先后5次骨髓检查均诊断为再生不良性贫血。曾经输血,糖皮质激素等治疗,病情无明显好转。1980年5月诊断为甲减。经甲状腺素治疗2个月余,血红蛋白由6.5克上升至10.5克,红细胞由240万上升至400万,骨髓检查正常。继续服药至今,恢复工作。本例由甲减导致贫血误诊达20年之久。甲减病 Hypothyroidism (referred to as hypothyroidism), said severe mucinous swelling. The slow onset of the disease, longer duration, clinical manifestations sometimes highlight the symptoms of a system. Coupled with the lack of knowledge of the disease, it is easy to misdiagnosis. Now we encounter 12 cases of long-term misdiagnosis patients listed in the table, and 5 of them detailed analysis to explore the causes of misdiagnosis. 1. misdiagnosed as anemia of regenerative cases 1 1961 because of fatigue, face yellow, edema, diagnosis of malnutrition anemia. Since 1975 five consecutive bone marrow tests were diagnosed as aplastic anemia. Once transfusion, glucocorticoid treatment, no significant improvement in the condition. May 1980 diagnosis of hypothyroidism. More than 2 months after thyroxine treatment, hemoglobin increased from 6.5 grams to 10.5 grams, red blood cells rose from 2.4 million to 4 million, bone marrow examination was normal. Continue to take medicine so far and resume work. In this case hypothyroidism led to misdiagnosis of anemia for 20 years. A hypothyroidism