老年原发性甲状腺功能减退症误诊原因分析

Analysis of cause of misdiagnosis of primary hypothyroidism in the elderly

目的探讨老年原发性甲状腺功能减退症误诊原因。方法对我院1994年1月-2005年12月误诊的原发性甲状腺功能减退症的60岁以上31例老年患者的临床资料进行回顾性分析。结果本组31例误诊患者中，女性占多数。第一易误诊为心脏疾惠，第二位为消化系统疾病，第三位为神经系统疾病。结论老年甲减缺乏典型症状，临床表现多样，极易造成误诊。提高对本病的认识，结合临床表现进行必要的甲状腺功能检查是提高诊断率的关键。

Objective To analyze the cause in misdiagnosis of 31 patients with primary hypothyroidism in elderly. Methods The clinical data of 31 patients aged 60 or over 60 years with primary hypothyroidism admitted to the hospital from Jan. 1994 to Dec. 2005 were analyzed, retrospectively. Results Most of the cases were females, The patients misdiagnosed as cardiac diseases, digestive problems, cerebrovascular diseases rangked the first, second and the third＇. Coneluslon There are less obviours symptoms in the elderly with primary hypothyroidism resulting in the misdiagnosis, Assay of thyroid function in combination with examination of clinical symptoms is essential for correct diagnosis of the disease.