先天性甲状腺功能减退症35例误诊分析

Misdiagnosis analysis of 35 cases of congenital hypothyroidism

目的探讨先天性甲状腺功能减退症儿童的误诊原因,提高对该病的诊治水平。方法回顾分析2006年以来笔者所在医院诊治的35例先天性甲状腺功能减退症误诊患儿,年龄最小3个月,最大7岁,平均(2.5±0.5)岁,分析先天性甲状腺功能减退症患儿的临床表现、检查结果及诊治经过。结果 35例先天性甲状腺功能减退症患儿均被误诊,误诊疾病:脑性瘫痪18例,巨结肠5例,矮小症6例,肥胖病3例,垂体腺瘤2例,肾病综合征1例。结论先天性甲状腺功能减退症是儿科常见的内分泌疾病之一,由于该病起病隐匿,临床表现复杂多样,极易误诊为其他疾病,临床医师应加强对此类疾病的认识。

Objective To investigate the misdiagnosis of children with congenital hypothyroidism,to improve diagnosis and therapy level. Methods Retrospectively analyzed 35 children with CH whawere diagnosed and treated in our hospital from 2006,the youngest was 3 months,the biggest was 7 years old,the average age was（2.5 ± 0.1）years,analyzed the clinical manifestations,examination results,diagnosis and treatment of children with congenital hypothyroidism. Results 35 cases with CH were all misdiagnosed.Misdiagnosed disease： 18 cases were cerebral palsy,5 cases were giant colon,6 cases were short stature,3 cases were fat disease, 2 cases were pituitary adenoma,1 case was nephrotic syndrome. Conclusion Congenital hypothyroidism is common pediatric endocrine diseases,misprision due to the onset of the disease,the clinical manifestations of complex and diverse,easily mistaken for other diseases,clinicians should strengthen awareness of such diseases.