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目的探讨误诊为消化系统疾病的腺垂体功能减退症的临床特点及误诊原因,提高对不典型症状的诊断水平,以避免误诊和漏诊。方法回顾性总结分析我科2005年1月—2010年12月收治的24例以消化系统症状就诊并确诊为腺垂体功能减退症患者的临床资料。结果 24例患者中男6例,女18例,症状多出现于40岁以后。以厌食、纳差为主症的5例,恶心、呕吐11例,腹泻8例,确诊后给予纠正电解质紊乱、激素替代等治疗后症状均好转。结论腺垂体功能减退症起病隐匿,发展缓慢,对以消化系统症状就诊并反复出现电解质紊乱的患者应注意考虑到腺垂体功能减退症的可能。
Objective To investigate the clinical features and causes of misdiagnosis of adenohypophyseal dysfunction misdiagnosed as digestive diseases and to improve the diagnosis of atypical symptoms so as to avoid misdiagnosis and missed diagnosis. Methods The clinical data of 24 patients with digestive system symptoms who were diagnosed as hypopituitarism from January 2005 to December 2010 in our department were retrospectively analyzed. Results There were 6 males and 18 females in 24 cases. The symptoms appeared after 40 years old. In anorexia, anorexia based disease in 5 cases, nausea, vomiting in 11 cases, 8 cases of diarrhea, diagnosed after correction of electrolyte disorders, hormone replacement and other symptoms were improved. Conclusions Pituitary hypopituitarism is occult onset and develops slowly. Patients with digestive system symptoms and repeated electrolyte imbalance should pay attention to the possibility of hypopituitarism.