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目的探讨中老年人不典型甲状腺功能亢进症(甲亢)的误诊原因,加强对该病的认识,提高诊断水平。方法分析2008-2012年某高校医院收治的6例老年不典型甲亢患者误诊情况。结果 6例患者分别误诊为慢性胃炎、胃肠功能异常1例;冠心病心律失常2例;高血压、胃肠功能异常1例;抑郁症、老年性痴呆1例;肺炎、反应性胸膜炎1例。结论误诊的主要原因是老年甲亢症状不典型、往往以某系统症状为突出表现,需临床医生提高警惕,以免误诊、漏诊。
Objective To investigate the causes of misdiagnosis of atypical hyperthyroidism (Hyperthyroidism) in middle-aged and elderly patients, and to improve the understanding of the disease and improve the diagnosis. Methods The misdiagnosis of 6 elderly patients with atypical hyperthyroidism admitted to a university hospital from 2008 to 2012 was analyzed. Results 6 patients were misdiagnosed as chronic gastritis, gastrointestinal dysfunction in 1 case, 2 cases of coronary heart disease arrhythmia, hypertension, gastrointestinal dysfunction in 1 case, depression, senile dementia in 1 case, pneumonia, reactive pleurisy in 1 case . Conclusions The main reason of misdiagnosis is that atypical symptoms of hyperthyroidism in the elderly are often highlighted by some systemic symptoms. Clinicians should be vigilant to avoid misdiagnosis and missed diagnosis.