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目的:分析产后甲状腺炎(PPT)的误诊原因以减少误诊误治。方法:回顾性分析41例PPT误诊病例,对误诊原因分析总结。结果:PPT临床误诊率高,常误诊为产后Graves病、桥本甲状腺炎、单纯性甲状腺肿、产后抑郁症等。结论:对本病认识不足常导致误诊,预防PPT误诊误治需了解本病的临床表现、鉴别诊断,掌握早期诊断线索。
Objective: To analyze the causes of misdiagnosis of postpartum thyroiditis (PPT) to reduce misdiagnosis and mistreatment. Methods: A retrospective analysis of 41 cases of PPT misdiagnosis, analysis of the causes of misdiagnosis. Results: PPT clinical misdiagnosis rate, often misdiagnosed as postpartum Graves disease, Hashimoto’s thyroiditis, simple goiter, postpartum depression and so on. Conclusion: The lack of understanding of the disease often leads to misdiagnosis, prevention of PPT misdiagnosis and mistreatment need to understand the clinical manifestations of the disease, differential diagnosis, grasp the early diagnosis clues.