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非典型甲亢临床易误诊、漏诊。我院近年诊断12例,确诊甲亢前均有误漏诊史2个月～6年。其中误诊为心血管病2例,周期性麻痹2例,贫血2例,肝病1例,误诊为慢性肠炎、慢性胃炎、神经官能症、不明原因消瘦各1例,另1例甲亢合并乙肝,因甲亢漏诊未得治疗,致肝功长期不能恢复,临床资料一、以心血管表现为主,患者女,60岁,反复心悸气喘6年,间歇胸痛二个月入院。曾在他院诊断为“冠心病”。入院后出现剧烈胸痛、胸闷,心电图:左右心室肥厚,Q—T 延长,游走心律,诊断“冠心痛,心
Atypical hyperthyroidism clinical misdiagnosis, missed diagnosis. In our hospital, 12 cases were diagnosed in recent years. Misdiagnosis history of hyperthyroidism was 2 months to 6 years before diagnosis. One misdiagnosed as cardiovascular disease in 2 cases, 2 cases of periodic paralysis, anemia in 2 cases, liver disease in 1 case, misdiagnosed as chronic enteritis, chronic gastritis, neurosis, unexplained weight loss in 1 case, another case of hyperthyroidism with hepatitis B, due to Hyperthyroidism missed diagnosis untreated, resulting in long-term liver function can not be restored, clinical data, mainly to cardiovascular performance, female patient, 60 years old, repeated palpitations and asthma for 6 years, intermittent chest pain two months admitted. In his hospital diagnosed as “coronary heart disease.” After admission, severe chest pain, chest tightness, ECG: left ventricular hypertrophy, Q-T extended, walking heart rate, diagnosis of "crown heartache, heart