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近年来我科误诊甲状腺机能减退4例,现报告2例如下。 例1:患者男,52岁。20年前曾发热、咽痛,当时局部负重后腰痛,眼睑水肿,血尿。以后每遇坐车及肩负重即诱发右侧腰痛、眼睑水肿及血尿。尿常规:蛋白(+),红细胞(++)。2个月前又觉畏寒,食欲不振,眼睑水肿,四肢无力,双下肢水肿。1个月前觉胸闷、心慌,活动后尤明显。 查体:T36.8℃,血压20/12kPa,面色苍黄,皮肤干燥,言语缓慢,巩膜无黄染,甲状腺无肿大。双肺呼吸音清晰,未闻及干湿性罗音,心界向左侧轻度扩大,A_2>P_2,心率84次/min,律整,心音有力。肝脾未扪及,腹部无压痛.
In recent years, misdiagnosed thyroid hypothyroidism in 4 cases, now report 2 cases as follows. Example 1: Male patient, 52 years old. 20 years ago had fever, sore throat, when the local weight-bearing low back pain, eyelid edema, hematuria. After each encounter car and shoulder weight that induced right lower back pain, eyelid edema and hematuria. Urine: protein (+), red blood cells (++). 2 months ago also feel chills, loss of appetite, eyelid edema, weakness, lower extremity edema. 1 month ago feel chest tightness, palpitation, especially after the event. Physical examination: T36.8 ℃, blood pressure 20 / 12kPa, pale yellow, dry skin, slow speech, sclera no yellow dye, no swelling of the thyroid. Double lung breath sounds clear, unheard-of and wet and dry rales, heart slightly expanded to the left, A_2> P_2, heart rate 84 beats / min, the whole law, strong heart sounds. Liver and spleen not palpable, no tenderness in the abdomen.