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目的探讨亚急性甲状腺炎(SAT)误诊、漏诊原因,提高SAT诊治的及时性,降低永久性甲减的发生率。方法对张家港市第一人民医院自2004-01-2010-08先后误诊124例SAT患者的病史、临床表现、实验室检查及治疗进行综合分析。结果 SAT临床表现复杂,极易漏诊、误诊。结论提高医务人员尤其是社区医务人员SAT知识的普及,是提高SAT及时诊治的关键。
Objective To investigate the causes of misdiagnosis and missed diagnosis of subacute thyroiditis (SAT), improve the timeliness of diagnosis and treatment of SAT, and reduce the incidence of permanent hypothyroidism. Methods The First People’s Hospital of Zhangjiagang from 2004-01-2010-08 misdiagnosis of 124 cases of SAT patients with a history, clinical manifestations, laboratory tests and treatment of a comprehensive analysis. Results SAT clinical manifestations of complex, easily missed diagnosis, misdiagnosis. Conclusion Improving the popularization of SAT knowledge among medical staff, especially community health workers, is the key to improve timely diagnosis and treatment of SAT.