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目的探讨原发性甲状腺功能减退症(简称甲减)的误诊原因及预防。方法对我院2010年7月—2012年7月门诊及住院的甲减患者进行探讨和总结。结果 30例甲减患者中误诊为冠心病15例,心包积液5例,肾病2例,血液病2例,神经系统疾病6例。结论临床上对不明原因的头晕、乏力、心悸、颜面水肿或双下肢水肿,腹胀等持续时间较长的患者应考虑到甲减的可能,结合临床表现、体征和及时检查甲状腺功能,必要时试验性给予甲状腺素替代治疗,多能明确诊断,降低误诊及漏诊率。
Objective To investigate the causes and prevention of misdiagnosis of primary hypothyroidism (Hypothyroidism). Methods The hospital from July 2010 July 2012 outpatient and inpatient hypothyroidism were discussed and summarized. Results Thirty patients with hypothyroidism were misdiagnosed as coronary heart disease in 15, pericardial effusion in 5, nephropathy in 2, hematological disease in 2 and neurological disease in 6. Conclusions Patients with unexplained dizziness, fatigue, palpitations, facial edema, or edema of both lower extremities and bloating should be considered in patients with hypothyroidism. Combined with clinical manifestations, signs and timely examination of thyroid function, if necessary, test To give thyroid hormone replacement therapy, and more able to confirm the diagnosis, reduce misdiagnosis and missed diagnosis rate.