摘要
Abstract
Objective To analyzed the misdiagnosis cause of postpartum thyroiditis(PPT), and explore strategies to avoid misdiagnosis. Methods The clinical data of 39 patients with PPT misdiagnosed in our hospital were retrospectively ana lyzed. Results 17 had hyperthyoidism after labor or abortion, 15 had hypothyrea, 5 had collar mass, and 2 had postnatal de pression. 17 were misdiagnosed as having graves disease, IS hashimoto thyroditis, 5 simple goiters, and 2 postnatal depres sions. All the patients were diagnosed as having PPT. After treatment, 12 patients with hyperthyoidism were cured, 27 patients with hypothyrea maintained normal thyreoid function during 6-12 months after labor or abortion. 4 had to use levothyroxine to keep normal thyreoid function during 2 years after labor. Conclusion The major misdiagnosis cause of PPT is due to lack of understanding of the disease. Physicians should improve knowledge of PPT, and checking medical history and physical check up , and improvement of medical technology and differential diagnosing can avoid and reduce misdiagnosis.关键词
产后甲状腺炎/误诊/Graves病/桥本甲状腺炎Key words
Postpartum thyroiditis/ Misdiagnosis/ Graves disease/ Hashimoto thyroditis分类
医药卫生
