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目的总结不典型甲状腺功能亢进症误诊原因,提高诊断准确率。方法回顾性分析18例不典型甲状腺功能亢进症患者临床资料。结果误诊为冠心病5例,周期性麻痹3例,慢性结肠炎3例,肝炎肝硬化、风湿性心脏病、糖尿病、神经官能症、精神分裂症、支气管哮喘、肺结核各1例;误诊时间15d～6个月;确诊后给予抗甲状腺药物治疗,症状好转。结论了解非典型甲状腺功能亢进症表现,及时行甲状腺功能检查,可避免误诊。
Objective To summarize the causes of misdiagnosis of atypical hyperthyroidism and improve the diagnostic accuracy. Methods The clinical data of 18 patients with atypical hyperthyroidism were retrospectively analyzed. Results Misdiagnosed as coronary heart disease in 5 cases, 3 cases of periodic paralysis, 3 cases of chronic colitis, hepatitis cirrhosis, rheumatic heart disease, diabetes mellitus, neurosis, schizophrenia, bronchial asthma, tuberculosis in 1 case; Misdiagnosis time 15d ~ 6 months; given anti-thyroid medication after diagnosis, the symptoms improved. Conclusion To understand the manifestation of atypical hyperthyroidism, timely thyroid function tests can avoid misdiagnosis.