亚急性甲状腺炎20例误诊分析

Analysis of Erroneous Diagnosis of 20 Cases of Subacute Thyroiditis

目的:分析亚急性甲状腺炎的误诊原因,对亚急性甲状腺炎尽早做出诊断,降低误诊率。方法:通过临床病历资料及病人回访,回顾性分析2000-2005年门诊及病房收治的初诊时被误诊的亚急性甲状腺炎20例,总结误诊原因。结果:对本组20例患者回顾分析中,初诊误诊率超过50%,属易误诊常见病。结论:亚急性甲状腺炎是易出现误诊的常见病,误诊原因多是由于初诊询问病史不详、查体不仔细、对相关辅助检查结果分析欠准确等原因造成,应引起临床医师的高度重视。

Objective: To analyze the causes of erroneous diagnosis of subacute thyroditis,and give diagnosis as soon as possible so as to reduce erroneous diagnosis rate.Method: To review and analyze the erroneous diagnosis of 20 cases of subacute thyroditis which were treated in outpatient service and ward from year 2000 to year 2005,and sum up the causes of erroneous diagnosis.Result: The erroneous diagnosis rate of the first diagnosis exceeds 50%,so subacute thyroditis is the common disease which is prone to be erroneous diagnosis.Conclusion: subacute thyroditis is the common disease which is prone to be erroneous diagnosis.The causes of erroneous diagnosis are that medical history is not quite clear when enquire at the first diagnosis,health check is not careful,result analysis of relative auxiliary health check is not accurate and so on.All these should be paid highly attention to by clinicians.