原发性甲状腺功能减退症20例误诊分析
【中图分类号】R581.2【文献标识码】B
【文章编号】1672-5085(2007)11-0042-02
【摘要】甲减早期主要是一些非特异症状，容易被误诊为更年期综合症或植物神经功能失调。本组有5例曾在早期被误诊。随着病程进展，逐渐出现多个系统的改变，且常以某一系统症状较突出，误导患者到相应的科室就诊，临床医师要提高对甲减的认识，进行详细的病史询问和体格检查，特别是对既往就诊情况及女性月经生育史的询问，对非特异症状要想到甲减的可能，进一步做甲状腺激素测定，尤其对老年人或女性患者。对做过甲状腺手术：131I治疗或口服抗甲状腺药物治疗的患者应随访，并定期做甲状腺激素测定，以尽快发现。
【关键词】甲状腺功能减退症;误诊分析
The primary thyroid function decrease sickness 20 examples misdiagnose the analysis Tian Yuyu
【Abstract】The armor to reduce the early time mainly are some non-special symptoms,easily is misdiagnosed is out of balance for the menopause syndrome or the plant nerve function.This group had 5 examples once to misdiagnose in the early time.Progresses along with the course of an illness,gradually appears many systems the change,also often according to some a system symptom is more prominent,misleads the patient to receive a medical examination to the corresponding administrative offices,clinician must enhance the understanding which reduces to the armor,carries on the detailed medical history inquiry and the medical examination,specially to formerly receives a medical examination the situation and the feminine menstruation birth history inquiry,to the non-special symptom must think the armor reduces the possibility,further makes the thyroxine determination,especially to senior citizen or feminine patient.To has undergone the thyroid gland surgery:131I treatment or takes orally the anti-thyroid gland medicine treatment the patient should make a follow-up visit,and regularly makes the thyroxine determination,to discovered as soon as possible. ......
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