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警惕以急性肾小管坏死为首诊的甲状腺功能减退症 被引量:2

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摘要 目的探讨甲状腺功能减退症(甲减)的严重并发症以及尽早诊治对改善预后的重要性。方法对我院收治的1例甲减的临床资料进行回顾性分析。结果患者以乏力、嗜睡、全身水肿1个月,加重1周入院,伴记忆力下降,无少尿,查血肌酐轻度升高,及时行甲状腺功能、肾功能及泌尿系超声检查确诊为甲减、急性肾损伤,予左甲状腺素钠片、阿魏酸哌嗪片、金水宝胶囊等综合治疗症状好转,行肾活检术确诊为急性肾小管坏死,继续左甲状腺素钠片治疗,痊愈出院。结论甲减临床表现复杂多样,易误诊,提示临床接诊不明原因的水肿、乏力、血肌酐升高者,应想到甲减可能,及时行甲状腺功能检查以明确诊断,同时需警惕甲减造成的急性肾损伤和其他系统损伤。
出处 《临床误诊误治》 2012年第7期19-21,共3页 Clinical Misdiagnosis & Mistherapy
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