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目的探讨成年甲状腺功能减退症的误诊原因。方法收集北京电力医院甲减误诊病例临床资料20例。结果误诊为脑梗死1例,老年痴呆2例,高脂血症3例,心肌病1例,更年期综合征3例,冠心病2例,抑郁症1例,缺铁性贫血3例,急性心包炎2例,心律失常-窦性心动过缓2例。结论认真收集病史,仔细查体,拓宽思路,有针对性及时做甲状腺功能测定,是防止甲减误诊的基础。
Objective To investigate the causes of misdiagnosis of adult hypothyroidism. Methods A total of 20 cases of clinical data of hypothyroidism in Beijing Electric Power Hospital were collected. The results were misdiagnosed as cerebral infarction in 1 case, dementia in 2 cases, hyperlipidemia in 3 cases, cardiomyopathy in 1 case, menopausal syndrome in 3 cases, coronary heart disease in 2 cases, depression in 1 case, iron deficiency anemia in 3 cases, acute pericardial 2 cases of inflammation, arrhythmia - sinus bradycardia in 2 cases. Conclusion Careful collection of medical history, careful examination, broaden their thinking, timely and targeted thyroid function test is to prevent hypothyroidism based on misdiagnosis.