淡漠型甲状腺功能亢进症27例误诊分析  

ANALYSIS INDIFFERENCE THYROID FUNCTION HYPERTHYROIDISM 27 CASES MISDIAGNOSIS ANALYSIS

作　　者：王玉霞[1] 吴志香[2] 

机构地区：[1]中国医科大学附属第四医院内分泌科,沈阳110032 [2]辽宁中医药大学附属医院内分泌科

出　　处：《现代预防医学》2011年第2期384-385,共2页Modern Preventive Medicine

摘　　要：[目的]探讨淡漠型甲状腺功能亢进症的误诊原因,提高临床诊断水平。[方法]回顾性分析我院自2004年10月～2010年10月误诊的27例淡漠型甲状腺功能亢进症患者的临床资料,总结误诊类型和原因。[结果]我院同期共诊断甲状腺功能亢进症164例,其中27例淡漠型误诊为其他疾病,误诊率为16.5%;27例患者中13例患者误诊为心血管疾病,7例患者误诊为植物神经功能紊乱,4例患者误诊为消化系统疾病,3例患者误诊为抑郁症。所有患者经系统抗甲治疗后,症状好转。[结论]淡漠型甲状腺功能亢进症常见于老年人,因症状不典型、基础疾病较多,容易与多种疾病发生混淆,对疑似病例尽早做相关辅助检查有助于确诊。[Objective]To investigate the indifferent type of hyperthyroidism misdiagnosed,and improve the clinical diagnosis.[Methods]A retrospective analysis was conducted in our hospital from October 2004 ~ October 2010,27 cases who were misdiagnosis of indifferent hyperthyroidism were collected,and reviewed the types of disease and causes of misdiagnosis.[Results]164 cases with hyperthyroidism were diagnosed,and 27 with indifferent hyperthyroidism were misdiagnosis,and the misdiagnosis rate was 16.5%;Among the 27 patients,13 patients were misdiagnosed as cardiovascular disease,7 patients were misdiagnosed as autonomic dysfunction,4 patients were misdiagnosed as digestive diseases,and 3 patients were misdiagnosed as depression.All patients were treated by the system of anti-A,and the symptoms improved.[Conclusion]The indifferent type of hyperthyroidism is common in the elderly,because of atypical symptoms,underlying diseases are more easily confused with a variety of diseases,and suspected cases should be diagnosed with auxiliary examination to early confirm.

关 键 词：淡漠型 甲状腺功能亢进症 误诊 

分 类 号：R581.1[医药卫生—内分泌]