老年甲状腺机能减退症38例误诊分析

本文分析了老年甲状腺机能减退症38例,其中误诊29例,误诊率为76.3%.指出老年甲状腺机能减退症(简称甲减)是由多种原因所引起的甲状腺激素的合成、分泌或生物效应不足而引起的全身性内分泌疾病,许多原因不明者,可能属自身免疫性炎症所致.由于本病起病隐袭、发展缓慢,早期症状缺少特征,尤其与老年退行性症变极为相似,常易误诊和漏诊.作者认为提高诊断率的关键是遇到相似病症,应该首先考虑到甲减的可能,结合临床表现进行甲状腺功能等相关检查,是发现本病并做出正确诊断的重要手段.

The Analgsis of 38 Misdiagnosis Cases of the Senile Hypothyroidism

There are many reasons that can cause the senile hypothyroidism, which is an endocrinopathy cawed by insufficient secretion and synthesis of thyro-oxyindole or insufficient biological effect of thyrooxyindole. Beside these reasons, there is also the autoimmune inflammation which can cause this kind of disease. The symptom can be diagnosed easily, but some sensle patient diseases are similar to geriatric. The key to solve the problem is thinking of the possibility of hypothyroidism at first, combining with the clinic symptoms to detect the thyroid function. This method plays a central role in discovering and diagnosing it.