老年人不典型甲状腺功能减退症54例误诊分析

Analysis on misdiagnosis of 54 elderly patients with atypical hypothyroidisim

目的探讨老年原发性甲状腺功能减退症误诊原因。方法对误诊的54例老年甲状腺功能减退症患者的临床资料进行回顾性分析。结果 54例中,女性占83.33%。首诊于其他科室,易误诊为循环、消化、神经、泌尿、内分泌等系统的疾病。误诊时间达5个月～5年。结论老年甲减缺乏典型症状,极易误诊。提高对该病的认识,结合临床表现进行必要的甲状腺功能检查是降低误诊率的关键。

Objective To explore the misdiagnosis causes of primary hypothyroidism in elderly patients. Methods The clinical data of 54 elderly patients with hypothymidisim whose disease was misdiagnosed in our institute from June 2003 to December 2009 were retrospectively analyzed. Results Among 54 misdiagnosed patients, female patients accounted for 83.33%. Atypical hypothyroidisim in elderly patients was easily misdiagnosed as heart disease, digestive system disease, diseases of the nervous system, urinary tract disease, endocrine system diseases, etc. The primary survey was performed in other departments. The misdiagnosis time ranged from 5 months to 5 years. Conclusion Because of lack of typical symptoms in elderly patients with hypothyroidism, this desease is easily misdiagnosed. Improving the understanding of the disease, combined with clinical manifestations and the necessary thyroid function examination is the key to decrease misdiagnosis rate.