儿童甲状腺功能减退症的特殊临表现及误诊分析  

Atypical manifestations and misdiagnosis analysis of children with hypothyroidism

作　　者：于飞[1] 方海宁[1] 汪小霞 祝婕[1] 苏杭[1] YU Fei;FANG Haining;WANG Xiaoxia;ZHU Jie;SU Hang(Pediatics Department of Endocrinology and Genetics Metabolism,Maternal and Child Health Care Hospital of Hubei Province,Hubei Province,Wuhan 430071,China)

机构地区：[1]湖北省妇幼保健院儿童内分泌遗传代谢科,湖北武汉430071

出　　处：《中国医药导报》2018年第21期48-50,97,共4页China Medical Herald

摘　　要：目的分析儿童甲状腺功能减退症的特殊临床表现,以提高对儿童甲状腺功能减退症的诊断水平。方法回顾湖北省妇幼保健院2013年8月~2017年12月误诊的23例儿童甲状腺功能减退症患儿的临床资料,并进行临床分析。结果 7例以长期厌食、腹胀、便秘等消化道症状表现为主,3例以重度贫血为主要表现,7例以"性早熟"为主要表现,6例以生长迟缓、智力落后为主要表现。结论儿童甲状腺功能减退症临床表现错综复杂并缺乏特异性,及时行甲状腺功能检查,综合分析,可早期诊断,降低误诊率。Objective To analyze the atypical manifestations of hypothyroidism in children and long term misdiagnosis,in order to improve the children′s hypothyroidism diagnosis level.Methods The clinical data of 23 cases misdiagnosed children with hypothyroidism in Maternal and Child Health Care Hospital of Hubei Province from August 2013 to December 2017 was collected to review and carry on clinical analysis.Results The main symptoms of 7 cases were long-term anorexia,abdominal distension,constipation and other gastrointestinal symptoms.The main symptoms of 3 cases were severe anemia.The main symptoms of 6 cases were growth retardation,mental retardation.The main symptoms of 7 cases were precocious puberty.Conclusion The manifestation of hypothyroidism is complicated and lacks specificity.Thyroid function test and comprehensive analysis should be carried out in time,that may reduce the rate of misdiagnosis.

关 键 词：原发性甲状腺功能减退症 特殊症状 误诊 临床分析 

分 类 号：R179[医药卫生—妇幼卫生保健]