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目的:分析甲状腺功能亢进的误诊原因,提高甲状腺亢进的早期诊断水平。方法:对包头市钢铁集团医院2004-01/2008-12间首诊误诊的甲状腺功能亢进30例临床资料进行回顾性分析。结果:30例误诊疾病分别为神经官能症12例,器质性心脏病8例,低钾性周期性麻痹5例,慢性肠炎5例。结论:甲状腺功能亢进疾病临床表现多样,非典型患者临床医师对其认识不足,缺乏全面的综合分析是误诊的主要原因。
Objective: To analyze the causes of misdiagnosis of hyperthyroidism and improve the early diagnosis of hyperthyroidism. Methods: Thirty patients with hyperthyroidism who were misdiagnosed as the first clinic between January 2004 and December 2008 in Baotou Iron and Steel Group Hospital were retrospectively analyzed. Results: Thirty cases were misdiagnosed as neurosis, 8 cases of organic heart disease, 5 cases of hypokalemic periodic paralysis and 5 cases of chronic enteritis. Conclusions: The clinical manifestations of hyperthyroidism are diverse and clinicians of atypical patients are not well aware of it. The lack of a comprehensive and comprehensive analysis is the main reason for misdiagnosis.