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原发性甲状腺功能减退症64例临床分析 被引量:17

Clinical analysis of 64 cases of primary hyopothynoidism
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摘要 目的:探讨成人原发性甲状腺功能减退症误诊的原因及寻找诊断线索,避免漏诊、误诊.方法:对本院1986年~2000年诊断为原发性甲状腺功能减退症64例患者的临床资料进行回顾性分析.结果:64例患者在确诊之前46例误诊为其它疾病:误诊为慢性肾脏疾病17例,心脏疾病11例,贫血18例.结论:成人原发性甲减多在中老年女性起病,常易误诊,应提高警惕,特别应与慢性肾脏疾病,心脏疾病与贫血等作鉴别. Objective: To explore the causes of misdiagnosis of primary hypothyroidism. Methods: By retrospective analysis of 64 cases of adult primary hypothyroidism admitted to the Third People's Hospital of Chongqing from 1986 to 2000. Results:46 cases were misdiagnosed: 17 cases were misdiagnosed as chronic kidney diseases, 11 cases, as heart diseases, and 18 cases, as anemia. Conclusion:Adult primary hypothyroidism was commonly found in female patients and frequently misdiagnosed. One should be alert for its presence and should be careful to differenciate it from chronic kidney diseases, heart diseases and anemia.
作者 谭永忠
出处 《重庆医科大学学报》 CAS CSCD 2002年第2期222-222,224,共2页 Journal of Chongqing Medical University
关键词 原发性甲状腺功能减退症 慢性淋巴细胞性甲状腺炎 甲状腺激素 Primary hypothyroidism Chronic lymphocytic thyroiditis Thyroxine
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参考文献3

  • 1刘新民.实用内分泌学[M].北京:人民军医出版社,1996.694.
  • 2程永福 汪慧贞 等.甲状腺功能减退症的临床识别[J].中华内科杂志,1984,23(11):683-683.
  • 3吴长富.原发性甲状腺功能减退症25例诊治体会[J].实用内科杂志,1986,6(8):419-420.

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