摘要
目的：分析原发性甲状腺机能减退症(甲减)的误诊原因，提高对甲减的认识，避免误诊。方法：对误诊的14例甲减患者临床症 状、体征、误诊病种及主要相关实验室检查资料作比较分析，并针对每一种误诊病种分析误诊原因。结果：14例甲减患者误诊为贫血 5例，植物神经功能紊乱、结核性心包炎各2例，扩张型心肌病、冠心病、慢性肝炎、单纯甲状腺肿、风湿性心脏病各1例。结论：甲减误 诊原因主要是对本病认识不足、思维局限，对病情进展缺乏全面、深入分析和整体观念，满足于个别症状和体征酷似其他疾病的诊断 而误诊。
Objective： To analysis the cause of misdiagnosis of hypothyroidism. Methods： The clinical sympotom were analyzed signs, the kinds of missdiagnosis and some important laboratory examination of 14 case of misdiagnosis, The cause of misdiagnosis wasanalyzed by countering each kind of misdiagnosis. Resdts： Among the 14 cases of hypothyroidism, 5 cases of anemia were diagnosed as, 2 cases of Plant nerve function mess, 2 cases of tuberculous pericarditis, 1 case of dilated cardiomyopathy, 1 case of coronary atherosclemtic heart disease, 1 case of chronic hepatitis, I case of simple goiter, 1 case of rheumatic heart disease. Condusion .. The cause of misdiagonsis is that we do not have enough knowledge of the disease, and be our thought are limited, we can not form a concept of viewing the situation as a whole. At the same time, we are just satisfied with some individual symptoms and think these symptoms belonging to some other diseases.
出处
《中国临床医学》
北大核心
2005年第5期868-870,共3页
Chinese Journal of Clinical Medicine
