亚急性甲状腺炎65例误诊分析

Misdiagnosis Analysis of 65 cases of Subacute Thyroiditis

目的:分析亚急性甲状腺炎的误诊原因,寻求减少误诊的措施。方法:总结分析近5年门诊初诊时被误诊的亚急性甲状腺炎65例的临床资料,分析其误诊原因。结果:误诊为上呼吸道感染最多见,占45%,其次为甲亢、甲减等。结论缺乏对本病的认识,问诊不详细,查体不全面,对辅助检查结果分析欠准确等,是造成误诊的主要原因。

Objective：To discuss the misdiagnosed reasons of subacute thyroiditis,and to seek the measures to reduce the misdiagnosis..Methods：to analyze retrospectively the clinical data of 65 cases of misdiagnosed subacute thyroiditis for the first visit in our hospital for recent 5 years,and to analyze the causes of misdiagnosis.Results：the most common misdiagnose is misdiagnosed as upper respiratory tract infection,accounting for 45%,and followed by hyperthyroidism,hypothyroidism and so on.Conclusion：The main causes of misdiagnosis include lack of awareness of subacute thyroiditis,no detailed inquiry,no comprehensive physical examination,and lack of accurate analysis to the results of laboratory and assistant examination.