摘要
目的提高对甲亢患者的诊治水平,减少误诊率。方法依据甲亢患者临床表现,回顾性分析甲亢产生多系统表现的可能机制,并指导临床诊断。结果 32例中有22例在首诊时误诊,误诊率68.7%,其中,男性尤其是老年男性患者,主要以消瘦、营养不良性贫血、失眠、心房纤颤、腹泻、呕吐、低钾周围性瘫痪,白细胞减少误诊;女性主要以心悸、经量减少或闭经、慢性腹泻、类风湿性关节炎误诊。结论甲亢患者可出现多系统临床表现,误诊与病程长短、性别、年龄、高代谢症状不明显、突眼少见、甲状腺肿大不明显有关。因此,对一些不典型的患者,应及时行甲状腺功能检查。
Objective To improve the diagnosis and treatment of patients with hyperthyroidism to reduce the misdiagnosis rate. Methods According to the clinical manifestations, the mechanism for multi - system manifestations was analysed retrospectively. Results Of 32 patients with hyperthyroidism, 22 cases were misdiagnosed in the first doctor, with misdiagnosis rate of 68.7%. Of which, men, particularly older male patients, mainly suffered from weight loss, malnutrition, anemia, insomnia, artial fibrillation, diarrhea, vomiting, hypokalemia Week paralysis and leukopenia. Women mainly suffered from heart, by reduction or amenorrhea, chronic diarrhea and rheumatoid arthritis. Conclusion Multi - system clinical manifestations and misdiagnosis of the patients with hyperthyroidism may be related to course, sex, age, no symptoms of high metabolism, rare exophthalmos and no obvious goiter. Therefore, some patients with typical hyperthyroidism, thyroid function tests shoud be in time line.
出处
《中国医学创新》
CAS
2009年第22期46-47,共2页
Medical Innovation of China
关键词
甲状腺功能亢进
误诊
诊断
治疗
Hyperthyroidism
Misdiagnosis
Diagnosis
Treatment
