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原发性甲状腺功能减退症20例误诊分析
http://www.100md.com 2007年11月1日 《中外健康文摘·临床医师》 2007年第11期
     【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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