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目的:探讨不典型甲状腺功能亢进症(简称不典型甲亢)的临床特点,减少漏诊、误诊。方法:对我院22例不典型甲状腺功能亢进患者的误诊情况进行分析总结。结果:本组病例误诊为冠状动脉粥样硬化性心脏病(冠心病)8例,高血压性心脏病2例,风湿性心脏病2例,心肌炎2例,误诊为糖尿病2例,再生障碍性贫血1例,误诊为肠炎1例,消化道肿瘤2例,黄疸型肝炎2例。确诊后经抗甲亢治疗症状均获缓解。结论:要减少误诊的关键在于熟悉甲亢的各种不典型症状。对难以解释的各系统表现者,应进行甲状腺功能检测以减少漏诊、误诊。
Objective: To investigate the clinical features of atypical hyperthyroidism (referred to as atypical hyperthyroidism) to reduce the missed diagnosis and misdiagnosis. Methods: Misdiagnosis of 22 cases of atypical hyperthyroidism in our hospital were analyzed and summarized. Results: The patients were misdiagnosed as coronary atherosclerotic heart disease (coronary heart disease) in 8 cases, hypertensive heart disease in 2 cases, rheumatic heart disease in 2 cases, myocarditis in 2 cases, misdiagnosed as diabetes mellitus, aplastic anemia Anemia in 1 case, misdiagnosed as enteritis in 1 case, gastrointestinal cancer in 2 cases, jaundice hepatitis in 2 cases. After diagnosis of anti-hyperthyroidism symptoms were relieved. Conclusions: The key to reducing misdiagnosis is familiarity with various atypical symptoms of hyperthyroidism. Undetected system performance of those who should be carried out thyroid function tests to reduce the missed diagnosis, misdiagnosis.