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目的探讨甲状旁腺功能减退症(HP)的诊断及误诊原因。方法回顾泉州市180医院1998-01-2010-01收治的15例HP误诊病例,对临床资料进行总结和分析。结果误诊为癫痫8例,误诊为佝偻病4例,误诊为中毒性脑病2例,误诊为癔症1例。结论甲状旁腺功能减退症临床少见,容易误诊。对癫痫及反复手足搐搦者,应及时行血钙、血磷、血清甲状旁腺激素(PTH)测定,并行头颅CT或MRI检查。
Objective To investigate the diagnosis and misdiagnosis of hypoparathyroidism (HP). Methods Fifteen misdiagnosed cases of HP in 180 hospitals of Quanzhou from January 1998 to October 2010 were retrospectively reviewed, and the clinical data were summarized and analyzed. Results Misdiagnosed as epilepsy in 8 cases, misdiagnosed as rickets in 4 cases, misdiagnosed as toxic encephalopathy in 2 cases, misdiagnosed as hysteria in 1 case. Conclusion Hypoparathyroidism is rare and misdiagnosed. For epilepsy and repeated tetany, should be timely blood calcium, phosphorus, serum parathyroid hormone (PTH) determination, parallel head CT or MRI examination.