亚急性甲状腺炎13例误诊原因分析

Analysis on causes of misdiagnosis in 13 patients with subacute thyroiditis

目的分析亚急性甲状腺炎(简称亚甲炎)的误漏诊病例以吸取经验教训。方法收集13例误诊的亚甲炎患者的资料,从临床表现和实验室检查等方面进行分析。结果13例亚甲炎误诊为上呼吸道感染、咽炎、结节性甲状腺肿伴甲状腺功能亢进等。确诊后,经强的松和非甾体类消炎药治疗效果较好。结论亚甲炎误诊率较高,临床医师应提高对该病的认识。

Objective To find out and analyze the causes of misdiagnosis and missed diagnosis of Subacute Thyroiditis（ST） cases,and to learn lessons from them.Methods Collected 13 cases of misdiagnosed clinic data with ST and then analyzed them with general data,clinical manifestation,and laboratory examination.Results The 13 ST cases were misdiagnosed as upper respiratory tract infection,pharyngitis,and nodular goiter complicated with hyperthyroidism,etc.;the therapeutic effect was desirable with the administration of Prednisonum and Nimesulide（nonsteroidal anti-inflammatory drugs）.Conclusion the clinical manifestation of the ST changes considerably with high misdiagnosis rate,and clinicians should improve their understanding of the disease to reduce the rate misdiagnosis and missed diagnosis.