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目的:探讨以呕吐为主要症状的甲亢患者临床特点、发病机制及误诊原因。方法:回顾性分析以呕吐为主要症状的26例甲亢患者临床资料。结果:误诊为慢性胃炎8例,神经性厌食2例,肝炎6例,妊娠呕吐4例。相应治疗无效,后确诊为甲亢,予抗甲亢药物治疗1周~2个月后症状好转。结论:以呕吐为主要表现的甲亢患者起病隐匿,普通处理无效,抗甲亢药物治疗有效,提高对它的认识,避免误诊。
Objective: To investigate the clinical features, pathogenesis and misdiagnosis of hyperthyroidism with vomiting as the main symptom. Methods: A retrospective analysis of vomiting as the main symptom of 26 cases of hyperthyroidism in patients with clinical data. Results: Misdiagnosed as chronic gastritis in 8 cases, 2 cases of anorexia nervosa, hepatitis in 6 cases, 4 cases of pregnancy vomiting. The corresponding treatment is invalid, after the diagnosis of hyperthyroidism, to anti hyperthyroidism drug treatment 1 week ~ 2 months after the symptoms improved. Conclusion: The patients with hyperthyroidism, whose vomiting is the main manifestation, have an insidious onset, which is ineffective in normal treatment and effective in treating anti-hyperthyroidism. It can improve their understanding and avoid misdiagnosis.