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目的探讨老年甲状腺功能减退症的临床特征及误诊原因。方法对46例老年甲状腺功能减退症患者的资料进行回顾性分析。结果本组误诊24例,其中误诊为冠心病15例,脑梗死3例,老年痴呆2例,慢性胃炎2例,神经衰弱2例。结论在临床工作中对原因不明的淡漠、嗜睡、水肿、贫血及心血管表现的患者,应考虑到甲减,进行必要的甲状腺功能检测是早期发现和早期治疗的关键。
Objective To investigate the clinical characteristics of elderly hypothyroidism and the causes of misdiagnosis. Methods The data of 46 elderly patients with hypothyroidism were retrospectively analyzed. Results The group misdiagnosed 24 cases, of which 15 cases were misdiagnosed as coronary heart disease, 3 cases of cerebral infarction, 2 cases of senile dementia, 2 cases of chronic gastritis, 2 cases of neurasthenia. Conclusion In clinical work, patients with unexplained apathy, lethargy, edema, anemia and cardiovascular manifestations should be considered hypothyroidism, and the necessary detection of thyroid function is the key to early detection and early treatment.