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目的探讨原发性甲状腺功能减退症的临床特点及误诊情况,以提高诊断率。方法回顾分析1996年至2010年收治的12例被误诊为其他疾病的原发性甲状腺功能减退症患者的临床资料。结果 12例病例中误诊为冠心病、心力衰竭8例,误诊为脑梗塞并血管性痴呆2例,误诊为慢性肾病1例,误诊为贫血1例。结论甲减起病隐匿,初期临床表现不典型,发展至后期可累及机体多个系统,临床表现复杂多样,误诊率高,临床医师应提高对本病的认识,结合临床表现进行必要的甲状腺功能检查,提高诊断率,减少误诊。
Objective To investigate the clinical features and misdiagnosis of primary hypothyroidism in order to improve the diagnosis rate. Methods The clinical data of 12 patients with primary hypothyroidism misdiagnosed as other diseases from 1996 to 2010 were retrospectively analyzed. Results Twelve cases were misdiagnosed as coronary heart disease and heart failure in 8 cases, misdiagnosed as cerebral infarction and vascular dementia in 2 cases, misdiagnosed as chronic kidney disease in 1 case and misdiagnosed as anemia in 1 case. Conclusions hypothyroidism insidious onset, the initial clinical manifestations of atypical, the development of the latter may involve multiple systems of the body, the clinical manifestations of complex and diverse, high misdiagnosis rate, clinicians should raise awareness of the disease, combined with clinical manifestations of the necessary thyroid function Check to improve the diagnostic rate and reduce misdiagnosis.