老年甲状腺功能亢进性心脏病14例误诊分析

Hyperthyroid Cardiomyopathy in Old Patients: 14 Misdiagnosed Cases

目的探讨老年甲状腺功能亢进性心脏病(简称老年甲亢心)的误诊、漏诊原因。方法对我院2008年2月至2010年4月共14例误诊为甲亢心患者的临床特点及实验室检查结果进行总结,分析误诊、漏诊原因。结果临床表现不典型、认识不足及理化检查不全面是误诊、漏诊的主要原因。结论老年甲亢心,由于其甲状腺功能亢进表现不明显,极易造成误诊、漏诊,要早行甲状腺功能检查,以降低误诊率。

Objective To study the causes of misdiagnosis and missed diagnosis of hyperthyroid cardiomyopathy in old patients.Methods Fourteen old patients misdiagnosed with hyperthyroid cardiomyopathy were retrospectively reviewed from February 2008 to April 2010 for the analyses of clinical features and laboratory examination outcomes in aiming to identify the causes of misdiagnosis and missed diagnosis.Results The primary causes of misdiagnosis and missed diagnosis are obscure clinical manifestations,underawareness,and inadequate examination.Conclusion Hyperthyroid cardiomyopathy is subject to misdiagnosis and missed diagnosis,requiring early thyroid function test to minimize the rate of misdiagnosis.