甲状腺功能减退性肌病的临床特点

发布时间：2017-12-27 03:11

本文关键词：甲状腺功能减退性肌病的临床特点　出处：《国际神经病学神经外科学杂志》2016年06期 　论文类型：期刊论文

【摘要】：目的了解甲状腺减退性肌病的临床特征,提高临床诊疗工作中对甲状腺功能减退性肌病的认识,减少误诊误治。方法回顾性分析我院近10年收治的11例甲状腺功能减退性肌病患者的临床特征、实验室检查及辅助检查,并复习相关文献了解其可能的病理生理机制。结果甲状腺功能减退性肌病临床表现复杂,实验室检查常合并血常规、肌酶及血脂异常,肌电图改变无明显特异性,甲状腺激素替代治疗有效。结论在神经内科诊疗工作中,对以肌无力、肌肉疼痛等肌病症状为主诉的患者,应完善TSH检查,减少甲状腺功能减退性肌病的误诊误治。
[Abstract]:Objective to understand the clinical features of hypothyroidism, to improve the understanding of hypothyroidism in clinical diagnosis and treatment, and to reduce misdiagnosis and mistreatment. Methods the clinical features, laboratory examinations and auxiliary examinations of 11 hypothyroidism patients in our hospital in recent 10 years were analyzed retrospectively, and the related pathophysiology mechanism was reviewed. Results hypothyroidism hypothyroidism is complicated in clinical manifestations. Laboratory examination is often associated with blood routine, muscle enzymes and dyslipidemia. There is no significant difference in electromyography. Thyroid hormone replacement therapy is effective. Conclusion in the diagnosis and treatment of Neurology, we should improve the TSH examination to reduce the misdiagnosis and mistreatment of hypothyroidism in patients with complaints of myasthenia symptoms such as muscle weakness and muscle pain.
【作者单位】：中南大学湘雅医院神经内科;
【分类号】：R581.2
【正文快照】： 甲状腺功能减退症(hypothyroidism),简称甲减,是由于甲状腺激素合成和分泌减少或组织利用不足导致的全身代谢减低综合征。典型临床表现为畏寒、乏力、手足肿胀感、嗜睡、记忆力减退、少汗、关节疼痛、体重增加、便秘等。除上述典型症状外,目前已经认识到甲状腺功能低下尚可出

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