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原发性甲状腺机能减退症(甲减)是由血清甲状腺素(T_4或T_3)不足而促甲状腺激素(TSH)增加,临床表现复杂多样,极易误诊。本文就我院3例甲减住院病人误诊情况进行分析。例1误诊为慢性肾炎,女性,52岁,因间歇性全身浮肿、腹胀、便秘3年,加重伴乏力一周入院。3年前出现全身浮肿、腹胀、便秘,曾有乳白色尿伴尿频、尿急,尿镜检有红白细胞,诊为“慢性肾炎”。服用中西药后浮肿较前减轻,但常反复。半年前查三碘甲状腺原氨酸(T_3)2.2nmol/L(正常1.1～3.1nmol/L),
Primary hypothyroidism (hypothyroidism) is due to lack of serum thyroxine (T_4 or T_3) and thyroid stimulating hormone (TSH) increased, the clinical manifestations of complex and diverse, easily misdiagnosed. In this paper, 3 cases of hypothyroidism in our hospital misdiagnosis of patients analyzed. Example 1 misdiagnosed as chronic nephritis, female, 52 years old, due to intermittent generalized edema, bloating, constipation for 3 years, aggravated with fatigue one week admission. 3 years ago appeared body edema, bloating, constipation, had milky urine with frequent urination, urgency, urinalysis with red and white cells, diagnosed as “chronic nephritis ”. Edema after taking Chinese and Western medicine to reduce more, but often repeated. Six months ago, triiodothyronine (T_3) 2.2nmol / L (normal 1.1 ~ 3.1nmol / L)