思维局限 延误诊治——1例甲状腺功能减退症误诊为慢性肾炎的教训

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患者,女,56岁。因反复浮肿、尿少10年,加重半个月于2000年4月2日入院。患者10年前开始反复出现颜面、四肢浮肿及尿少,曾多次在当地医院住院,诊断为慢性肾炎,经治疗后好转。半个月前又出现浮肿,尿量明显减少,症状逐日加重。否认有高血压及心脏病史。体格检? Patient, female, 56 years old. Due to repeated edema, oliguria for 10 years, increased half a month on April 2, 2000 admission. 10 years ago, patients began to appear repeatedly face, edema and oliguria, has repeatedly hospitalized in the local hospital, diagnosed with chronic nephritis, after treatment improved. Edema occurred again two weeks ago, urinary output was significantly reduced, the symptoms increased day by day. Denied having a history of hypertension and heart disease. Physical examination?
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