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目的探讨不典型甲状腺功能亢进症的临床特点,以减少误诊。方法回顾性分析贺州市人民医院28例甲状腺功能亢进患者的误诊情况。结果误诊为冠心病10例、高血压性心脏病2例、风心病2例、扩张性心肌病2例,肺心病1例,再生障碍性贫血1例,误诊为肠炎2例,消化道肿瘤2例,黄疸型肝炎2例。神经官能症2例,精神分裂症2例。确诊后经抗甲亢治疗症状均获缓解。结论甲状腺功能亢进以某一系统症状为突出表现时容易误诊。对难以解释的各系统表现者,应及时进行甲状腺功能检测以减少误诊。
Objective To investigate the clinical features of atypical hyperthyroidism to reduce misdiagnosis. Methods A retrospective analysis of Hezhou People’s Hospital 28 cases of misdiagnosis of hyperthyroidism. Results Misdiagnosed as coronary heart disease in 10 cases, 2 cases of hypertensive heart disease, rheumatic heart disease in 2 cases, dilated cardiomyopathy in 2 cases, 1 case of pulmonary heart disease, 1 case of aplastic anemia, misdiagnosed as enteritis in 2 cases, gastrointestinal cancer 2 Cases, jaundice hepatitis in 2 cases. 2 cases of neurosis, 2 cases of schizophrenia. After diagnosis of anti-hyperthyroidism symptoms were relieved. Conclusions Hyperthyroidism is easily misdiagnosed as a prominent symptom of a certain system. Difficult to explain the various system performance, thyroid function tests should be promptly to reduce misdiagnosis.