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为减少误诊,提高诊断水平,本文就我院1990年6月～1999年10月误诊32例甲状腺功能减退症作如下分析。 1 临床资料 1.1 一般资料男,6例,女,26例,年龄40岁～76岁,平均62.8岁。误诊时间4月～10年,全部病例发病前均无甲状腺疾病史及脑垂体疾病史,无明显诱因。 1.2 临床表现畏寒、乏力、纳差、腹胀32例,轻中度贫血27例,嗜睡25例,胸闷心悸19例,记忆力减退12例,声音嘶哑10例,心绞痛发作2例;特征性粘液水肿面容14例,皮肤干、冷、粗、黄、非凹陷性浮肿24例,心音低、率慢26例,心界扩大13例。
In order to reduce misdiagnosis and improve the level of diagnosis, this paper misdiagnosed 32 cases of hypothyroidism in our hospital from June 1990 to October 1999 for the following analysis. 1 Clinical data 1.1 General information Male, 6 cases, female, 26 cases, aged 40 years to 76 years, an average of 62.8 years old. Misdiagnosis time of 4 months to 10 years, all cases before the onset of thyroid disease history and no history of pituitary disease, no obvious incentive. 1.2 clinical manifestations of chills, fatigue, anorexia, abdominal distension in 32 cases, mild to moderate anemia in 27 cases, lethargy in 25 cases, chest tightness and heart palpitations in 19 cases, memory loss in 12 cases, hoarseness in 10 cases, 2 cases of angina pectoris; characteristic myxedema Face in 14 cases, dry skin, cold, coarse, yellow, non-pitting edema in 24 cases, low heart rate, slow rate in 26 cases, heart widening in 13 cases.