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目的:分析垂体功能减退症的误诊原因,提高临床诊治垂体功能减退症的水平。方法:对2005-01/2008-12我院收治的14例垂体功能减退症患者的临床资料进行回顾性分析。结果:腺垂体功能减退症临床误诊率高,多被误诊为消化系统疾病、低血糖昏迷、甲状腺功能减退症、冠心病、胃炎等。结论:腺垂体功能减退症临床表现涉及多个系统,且复杂多样,易被误诊为多科疾病,医师对本病认识不足和思维局限,是早期误诊的主要原因。
Objective: To analyze the causes of misdiagnosis of hypopituitarism and improve the clinical diagnosis and treatment of hypopituitarism. Methods: The clinical data of 14 patients with hypopituitarism admitted from January 2005 to December 2008 in our hospital were analyzed retrospectively. Results: The clinical misdiagnosis rate of adenohypophyseal hypothyroidism was mostly misdiagnosed as digestive diseases, hypoglycemic coma, hypothyroidism, coronary heart disease, gastritis and so on. Conclusion: The clinical manifestations of adenohypophyseal hypogonadism involve multiple systems and are complex and diverse. It is easily misdiagnosed as a multidisciplinary disease. Physicians’ lack of understanding of the disease and limitation of thinking are the main causes of early misdiagnosis.