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目的探讨老年原发性甲状腺功能减退症的临床治疗及对误诊原因进行分析。方法对2005年4月至2008年5月诊断为原发性甲状腺功能减退症82例住院患者的临床资料进行回顾性分析。结果老年原发性甲状腺功能减退症多发生于中老年,女性明显多于男性,并且慢性自身免疫性甲状腺炎是原发甲减的主要原因。结论甲状腺功能减退症临床表现比较隐匿,发生缓慢且缺乏特异性,常易误诊,应提高警惕,及时诊治。
Objective To investigate the clinical treatment of senile primary hypothyroidism and analyze the causes of misdiagnosis. Methods The clinical data of 82 inpatients diagnosed as primary hypothyroidism from April 2005 to May 2008 were analyzed retrospectively. Results Elderly hypothyroidism occurred mostly in the middle-aged and elderly, women were significantly more than men, and chronic autoimmune thyroiditis is the main reason for primary hypothyroidism. Conclusions The clinical manifestations of hypothyroidism are relatively insidious, slow and lack of specificity, often misdiagnosis, should be vigilant, timely diagnosis and treatment.