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我国原发性甲状旁腺功能亢进症的误诊情况分析
引用本文:周建平,李晓莉,董明,郭克建,田雨霖.我国原发性甲状旁腺功能亢进症的误诊情况分析[J].中国现代医学杂志,2006,16(7):1040-1042.
作者姓名:周建平  李晓莉  董明  郭克建  田雨霖
作者单位:1. 中国医科大学附属第一医院,普通外科,辽宁,沈阳,110001
2. 沈阳市公安医院,内科,辽宁,沈阳,110003
摘    要:目的 探讨我国原发性甲状旁腺功能亢进症被误诊的情况和原因,提出减少被误诊的对策。方法 回顾分析自1994年1月~2004年12月被误诊的原发性甲状旁腺功能亢进症病人24例,同时计算机检索同期国内期刊发表的被误诊的病例207例,总结分析本病被误诊为其他疾病的种类及误诊原因。结果 共收集病例231例。分别被误诊为风湿性关节炎(26%),泌尿系结石(17,7%),病理性骨折(16%)等34种疾病。误诊的主要原因包括初诊医生对本病的临床特点认识不足,临床症状不典型等。结论 原发性甲状旁腺功能亢进症被误诊的原因主要在于医务人员对本病的认识不足。重视对高危人群的筛查可以提高本病的早期正确诊断率。

关 键 词:原发性甲状旁腺功能亢进症  误诊
文章编号:1005-8982(2006)07-1040-03
收稿时间:2005-07-17
修稿时间:2005-07-17

Situation and causes of misdiagnosis of primary hyperparathyroidism in China
ZHOU Jian-ping,LI Xiao-li,DONG Ming,GUO Ke-jian,TIAN Yu-lin.Situation and causes of misdiagnosis of primary hyperparathyroidism in China[J].China Journal of Modern Medicine,2006,16(7):1040-1042.
Authors:ZHOU Jian-ping  LI Xiao-li  DONG Ming  GUO Ke-jian  TIAN Yu-lin
Institution:1.Department of General Surgery, First Affiliated Hospital, China Medical University, Shenyang, Liaoning 110001, P.R.China; 2.Department of Medicine, Shenyang Police Hospital, Shenyang, Liaoning 110003, P.R.China
Abstract:Objective To explore the situation and causes of misdiagnosed primary hyperparathyroidism in China so as to develop some strategies for reducing misdiagnosis. Methods Twenty-four cases were analyzed retrospectively from Jan. 1994 to Dec. 2004 in our hospital. At the same time, all the published studies about the misdiagnosis of primary hyperparathyroidism were collected to analyze their classifications and causes. Results A total of 231 patients met the inclusion criteria. The 231 cases were misdiagnosed as 34 sorts of diseases, mainly including rheumatic arthritis (26%), urinary stones (17.7%), pathologic fracture. The causes of misdiagnosis could be classified into 7 categories, including lack of knowledge of primary hyperparathyroidism and complex manifestations of it. Conclusions The misdiagnosis of primary hyperparathyroidism is mainly caused by the poor professional skills of doctors. Recognition of high risk group of primary hyperparathyroidism has a great value to the correct diagnosis of the disease.
Keywords:primary hyperparathyroidism  misdiagnosis
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