甲状腺功能减退症误诊分析1例  

Misdiagnosis analysis of hypothyroidism:a case report

作　　者：康浩 卢晓 KANG Hao;LU Xiao(Faculty of Preclinical Medicine,Guangxi University of Chinese Medicine,Nanning City,Guangxi Zhuang Autonomous Region,530200,China;Department of Endocrinology,Third Affiliated Hospital of Guangxi Medical University/Nanning Second People's Hospital,Nanning City,Guangxi Zhuang Autonomous Region,530031,China)

机构地区：[1]广西中医药大学基础医学院,广西南宁530200 [2]广西医科大学第三附属医院/南宁市第二人民医院内分泌科,广西南宁530031

出　　处：《蛇志》2025年第1期92-94,共3页Journal of Snake

摘　　要：本文报道1例甲状腺功能减退症患者在基层医院就诊被误诊为心肌炎、冠心病长达20年。该患者误诊原因为临床表现不典型、基层临床医师对该病认识不足,临床资料采集不详细,忽略了鉴别诊断、忽视患者的主观不适感受。甲状腺功能减退症易被误诊,临床医师应提高对甲状腺功能减退症的认识,重视甲状腺功能的筛查。This article reports a case of a patient with hypothyroidism who was misdiagnosed as myocarditis and coronary heart disease for as long as 20 years in a primary hospital.The reasons for the misdiagnosis of this patient were atypical clinical manifestations,insufficient understanding of the disease by grassroots clinical physicians,incomplete collection of clinical data,neglect of differential diagnosis,and disregard for the patient's subjective discomfort.Hypothyroidism is prone to misdiagnosis,and clinicians should enhance their understanding of hypothyroidism and attach importance to screening thyroid function.

关 键 词：甲状腺功能减退症 误诊 原因分析 预防 

分 类 号：R581.2[医药卫生—内分泌]