甲状腺功能减退误诊为消化系统疾病研究现状  

Research on hypothyroidism misdiagnosed as digestive system diseases

作　　者：邱华[1,2] 谭华炳[1] 

机构地区：[1]湖北医药学院附属人民医院感染性疾病科肝病研究所,湖北十堰442000 [2]湖北省房县城关镇卫生院,湖北房县442100

出　　处：《中国肝脏病杂志（电子版）》2016年第1期33-35,共3页Chinese Journal of Liver Diseases：Electronic Version

摘　　要：目的总结甲状腺功能减退误诊为消化系统疾病的现状,探讨预防误诊的措施。方法以"甲状腺功能减退"为检索词,以1999年1月至2014年12月为检索时限,在万方、中国知网检索。结果 80%以上的文章有"误诊"字样,以消化系统疾病症状为主要表现的误诊病例存心血管疾病之后居第2位,许多患者误诊时间长达数年。常被误诊为慢性乙型肝炎、肝硬化腹水、便秘等。结论甲状腺功能减退误诊率高。提高甲状腺功能减退诊断标准的认识,提高对高危人群的认识,提高对该病发病隐匿、缺乏特异症状的认识以及强化医师技能培训是减少误诊的措施。Objective To analyze the state of hypothyroidism patients misdiagnosed as digestive system diseases, and to explore the measures of prevention. Methods ＂Hypothyroidism＂ was used as the search term, the literatures from January 1999 to December 2014 were searched from Wanfang Database and China National Knowledge Infrastructure. Results More than 80% of the articles had the letter ＂misdiagnose＂. The misdiagnosis cases with digestive symptoms as main clinical manifestation ranked second to cardiovascular diseases. The misdiagnosis period lasted for several years. Misdiagnosed cases included： chronic viral hepatitis B, ascites of hepatocirrhosis, constipation and so on. Conclusions Hypothyroidism has a high misdiagnosis rate. To improve the understanding of diagnostic criteria and high risk group, deepen understanding that hypothyroidism was concealed and lack of special symptom, and strengthen clinical skills training were effective measures in reducing misdiagnosis.

关 键 词：甲状腺功能减退 消化系统疾病 误诊 预防 

分 类 号：R581.2[医药卫生—内分泌]