老年原发性甲状腺机能减退症60例临床分析

目的 探讨老年原发性甲状腺机能减退症某些临床特征、误诊原因及治疗应注意的问题。方法 对60例老年原发性甲状腺机能减退症患者的临床资料进行回顾性分析。结果 老年原发性甲状腺机能减退症的症状、体征及一些实验室检查不典型，常延误诊治。该组误诊36例(60％)，其中误诊为冠心病8例，急性心肌梗死5例，肝硬化5例，肾病综合征4例，再生障碍性贫血3例，特发性水肿3例，肠梗阻3例，糖尿病3例，老年痴呆2例。结论 在临床工作中应想到该病的存在，结合临床表现进行必要的甲状腺功能检测是发现该病和早期治疗的关键。

Clinical analysis of 60 cases of primary hypothyroidism in senile

Objective: To assess the certain clinical features and causes of misdiagnosis and the relative issues in the treatment of hypothyroidism in senile. Methods: The data of 60 cases of hypothyroidism in senile were analysed retrospectively. Result: Symptoms and signs of hypothyroidism were atypical in senile, so hypothyroidism was prone to be misdiagnosed in senile. There were 36 cases (60%) of hypothyroidism misdiagnosed in senile, 8 for coronary heart disease, 5 for acute myocardiac infarct, 5 for liver cirrhosis, 4 for nephropathy syndrome, 3 for aplastic anemia, 3 for idiopathic edema, 3 for intestinal obstruction, 3 for diabetes mellitus, and 2 for idiot. Conclusions: Being alert for the presence of hypothyroidism and carrying on some necessary determinations of thyroid function combined with clinical manifestations is the key to improve the diagnostic rate in senile.