不典型甲状腺功能减退症误诊分析

Analysis on the misdiagnosis of atypical hypothyroidism

目的提高对不典型甲状腺功能减退症的认识,总结诊治经验。方法对26例不典型甲状腺功能减退症患者的资料进行临床分析。结果 26例中,误诊为慢性肾炎7例,贫血8例,冠心病3例,慢性胃炎4例,非特异性心包炎1例,抑郁症1例,营养不良1例,OSAS 1例。误诊时间最短1个月,最长5年。结论不典型甲状腺功能减退症极易误诊,仔细询问病史,全面综合分析,及时检查甲状腺功能是减少误诊的关键。

Objective To Enhance the understanding on atypical hypothyroidism and summing up experience of diagnosis and treatment. Methods The clinical analyses were performed on 26 atypical hypothyroidism patients. Results Among the 26 cases, 7 are misdiagnosed as chronic nephritis, 8 as anemia, 3 as coronary heart disease, 4 as chronic gastritis, 1 as nonspecifie pericarditis, 1 as depression, 1 as dystrophy, and 1 as OSAS. The misdiagnosis duration is 1 month to 5 years. Conclusion The atypical hypothyroidism is easily misdiagnosed. However, Careful inquest on the medical history, comprehensive analysis, and timely check on the function of thyroid gland is the key to decrease misdiagnosis.