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非典型甲亢的临床表现多种多样,易造成诊断失误。我院1978年至1989年收治的甲亢病人中有27例误漏诊。分析报告如下,以提高诊断水平。1 临床资料因疲乏、消瘦、失眠、心悸、烦燥多虑误诊为神经宫能症4例,更年期综合症3例,不孕症2例。因长期低热误诊为肺结核1例。27例中误诊为冠心病5例,均为60岁以上男性。心肌炎—心律失常3例,高血压病1例。因心前区、颈部、锁骨上窝闻及响亮的收缩期杂音,误诊为多发性大动脉炎1例。误诊为白细胞减少症2例,不明原因贫血2
Clinical manifestations of atypical hyperthyroidism varied, easily lead to diagnostic errors. 27 cases of hyperthyroidism admitted to our hospital from 1978 to 1989 were misdiagnosed. The analysis report is as follows, in order to raise the diagnostic level. 1 clinical data due to fatigue, weight loss, insomnia, heart palpitations, irritability and misdiagnosis of 4 cases of neurological disorders, menopause syndrome in 3 cases, infertility in 2 cases. One case of pulmonary tuberculosis was misdiagnosed due to long-term hypothermia. 27 cases were misdiagnosed as coronary heart disease in 5 cases, both men over the age of 60. Myocarditis - arrhythmia in 3 cases, 1 case of hypertension. A case of misdiagnosis of multiple aortic arteritis was diagnosed as anterior chamber, neck, supraclavicular fossa and loud systolic murmur. Misdiagnosed as leukopenia in 2 cases, unexplained anemia 2