先天性甲状腺功能低下16例误诊分析
先天性甲状腺功能低下症,,先天性甲状腺功能低下症；生长发育障碍；黄疸,【摘要】,【关键词】,1临床资料,2讨论,【参考文献】
【摘要】 目的 为提高对先天性甲状腺功能低下症(congenital hypothyroidism,CH)的临床认识,减少误诊和漏诊,故分析此病的误诊原因。方法 对1994～2005年诊断CH的16例病例资料回顾性分析其病因、临床症状、体征和实验室检查。结果 发现CH临床初次误诊率高达73%，多被误诊为：婴儿肝炎综合征、贫血、佝偻病、先天性巨结肠等疾病。结论 CH临床表现无特异性,但CH并非罕见,临床误诊率高,需提高对本病的认识，以降低误诊率。【关键词】 先天性甲状腺功能低下症；生长发育障碍；黄疸
Misdiagnosis of 16 cases of congenital hypothyroidism
DENG Huiling,WANG Hua,CHANG Rongfen.Xi’an Children Hospital,Xi’an 710003,China
【Abstract】 Objective To improve the clinical knowledge of congenital hypothyroidism(CH)；to reduce the misdiagnosis and leak diagnosis and to analyze the reason that results in CH misdiagnosis.Methods According to the sixteen cases of CH that from 1994～2005,reviewed the cause,clinical symptom，sign or laboratory examination.Results In clinic misdiagnosis rate high to 73 percent.Most of those were considered as:infantile hepatitis syndrome,anemia,Rickets of vitamin D deficiency,Hirchsprung’s disease and so on.Conclusion CH is not rare,the clinical misdiagnosis rate is high.So we must impove the recognition about the disease and reduce misdiagnosis rate. ......
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