中国医学科学院学报2011，Vol.33Issue(1)：14-17,4.DOI:10.3881/j.issn.1000-503X.2011.01.004
儿童原发性甲状腺功能减低症误诊70例分析
Clinical Analysis of Misdiagnosis in 70 Children with Primary Hypothyroidism
杜函泽 1李康 2潘慧 2杜红伟3
作者信息
- 1. 吉林大学白求恩医学院临床医学七年制,长春,130021
- 2. 中国医学科学院北京协和医学院北京协和医院内分泌科,北京100730
- 3. 吉林大学白求恩第一医院儿童内分泌科,长春,130021
- 折叠
摘要
Abstract
Objective To analyze the causes of misdiagnosis of primary hypothyroidism (PH) , with an attempt to reduce the misdiagnosis or mistreatment. Methods Totally 70 PH children with a history of misdiagnosis but whose conditions were confirmed in Peking Union Medical College Hospital and the First Hospital of Jilin University from July 2000 to May 2009 were enrolled in this study. The clinical data were collected and the causes of misdiagnoses were analyzed. Results Of these 70 patients, 19 were misdiagnosed as anaemia and dystrophy, 18 as pituitary tumors, 10 as adiposities, 6 as myoearditis or perieardial effusion, 4 as Down's syndrome, 3 as hepatitis, 3 as amyasthenia, 3 as cerebral palsy, 2 as cystis thyrolingualis, and 2 as congenital megacolon. The duration of misdiagnoses ranged from 6 to 72 months. The clinical manifestations of these patients were complicated, involving multiple organs and systems. Conclusions PH has complicated clinical manifestations and individual variations, and therefore can be easily misdiagnosed. Good knowledge, sufficient history-taking, and cautious physical examinations can help avoid misdiagnosis. Neonatal screening is helpful for diagnosis and treatment of congenital hypothyroidism.关键词
甲状腺功能减低症/诊断/误诊分类
医药卫生引用本文复制引用
杜函泽,李康,潘慧,杜红伟..儿童原发性甲状腺功能减低症误诊70例分析 [J].中国医学科学院学报,2011,33(1):14-17,4.
