甲亢那个医院治疗好

    Hyperthyroidism, referred to as hyperthyroidism, clinical manifestations are complex, as in a system symptom, can cover the clinical features of hyperthyroidism, then easily lead to misdiagnosis. Thyrotoxic periodic paralysis in the above patients newly diagnosed hyperthyroid, was not found, but only diagnosed as hypokalemic periodic paralysis with 18 cases. They are periodic paralysis as the first symptom in 甲状腺12 cases, the onset of nighttime, daytime onset in 6 cases. But the patient in addition to quadriplegia, there are different degrees of weight loss, increased heart rate, the blood potassium was 2 ～3.5 mmol/L, elevated serum thyroxine level, and subsequently diagnosed with thyrotoxic periodic paralysis. Thyrotoxic periodic paralysis for hyperthyroid myopathy, accounted for 3%～ 4% hyperthyroidism patients, often occurs 杭州同济甲亢医院 in young men. The patient may have first appeared after the hyperthyroidism, periodic paralysis, also can appear periodic paralysis and emergence of hyperthyroidism. Thyrotoxic periodic paralysis occurs, symptoms associated with hypokalemic periodic paralysis similar consulting physician, if only to meet in low potassium paralysis of the superficial diagnosis, and did not get to the bottom of its primary cause, will lead to misdiagnosis. Therefore, the frequent attacks of periodic paralysis should focus on except for hyperthyroidism. Hyperthyroidism complicated with symptoms of psychosis in these patients, misdiagnosed as mental disease in 14 cases. Among them, with mental disorder as the first symptom in 11 cases, the recurrence of hyperthyroidism with psychiatric symptoms as the main manifestation in 3 cases. Therefore, it is mistaken for 7 patients with mania, depression in 5 cases, 2 cases of schizophrenia. However, these patients except has the obvious psychiatric symptoms,杭州同济甲状腺医院怎么样 have different degrees of heat, sweating, weight loss, increased heart rate, high metabolic syndrome, serum thyroxine levels have increased in different degree, and subsequently diagnosed with hyperthyroidism complicated with symptoms of psychosis. The haughty patient of organism in the metabolic state, the cerebral cortex is stimulated, causing functional mental disorders. Therefore, the patient is easy to be excited, many words hyperactivity, insomnia, anxiety, irritability, tension, suspiciousness, hallucinations and even sometimes, manic, but also expression is quiet, depression, patients often have strong mental symptoms and family was sent to a psychiatric hospital. The psychiatrist often clinical thinking is limited, the main focus on mental symptoms, but ignore their high metabolic syndrome, and thus unable to think of hyperthyroidism complicated with symptoms of psychosis, often cause misdiagnosis. Hyperthyroidism associated with hematological abnormalities in these patients, 16 cases were misdiagnosed as blood disease. Among them, 10 cases were fatigue, fever, blood leukocyte reduction, misdiagnosed as leukopenia; in 4 cases with fatigue, palpitations, pale as initial symptoms, lower hemoglobin, misdiagnosed as iron deficiency anemia; in 2 cases with weakness, purpura as chief complaint, peripheral blood complete blood cell decreases, among them, 1 cases due to bone marrow hyperplasia decreased and misdiagnosed as aplastic anemia, and another 1 patients due to bone marrow hyperplasia significantly active misdiagnosed 杭州同济甲状腺医院 as refractory anemia. However, the 16 patients visit, no liver, spleen, lymph nodes, and have thin, hand tremors, increased heart rate, thyroid enlargement signs, elevated serum thyroxine level, thus finally diagnosed with hyperthyroidism. Hyperthyroidism patients not only have fatigue, palpitations, fever and other symptoms are nonspecific, the effects of blood system will appear in hematologic manifestation of purpura, peripheral blood and bone marrow also have corresponding change. However, physicians reception often customary to use a disease explain the patient's clinical course, think its weakness, heart rate too fast for anemia and leukopenia induced by. In fact, in patients with hyperthyroidism due to metabolic and immune disorders, peripheral white blood cell count decreased, platelet lifespan is shortened, sometimes purpura; at the same time, because of increased consumption, malnutrition and iron utilization obstacle, even can cause anemia. Therefore, with the degree of anemia not corresponding to the heartbeat rate, while other high metabolic syndrome hematological changes in patients, should be timely 杭州同济甲状腺中心医院 thyroid function examination, with the exception of hyperthyroidism with. Hyperthyroidism diarrhea in these patients, misdiagnosed as chronic colitis 5 cases. They are in chronic diarrhea, fatigue, weight loss as the main performance, repeated use of antibiotics and digestive treatment ineffective, thus be misdiagnosed as chronic colitis. But found, patients except active bowel sound, no other abdominal symptoms, further examination revealed a hand tremors, fast heart rate, thyroid enlargement and other symptoms, stool culture no pathogenic bacteria growth, elevated serum thyroxine level, thus finally diagnosed hyperthyroid diarrhea, line of hyperthyroidism after treatment of gastrointestinal symptoms disappeared. As a result of thyroxine to gastrointestinal peristalsis accelerates, emptying is accelerated, therefore in hyperthyroid patients often appear the number of stool, severe cases can be excreted undigested food, but no abdominal pain, fecal test normal. But in clinic, as consulting physician to consider only the digestive system diseases, and hyperthyroidism patients often appear diarrhea characteristic understanding insufficiency, thus ignoring the systemic disease may be one of the reasons for chronic diarrhea. Hyperthyroidism with liver damage in these patients, misdiagnosed as icteric hepatitis in 3 cases. They were lack of power, lack of appetite, tired of oil, jaundice and check of alanine aminotransferase and total bilirubin, misdiagnosed as hepatitis with jaundice, but liver and poor treatment effect. After checking the body found, these patients in addition to systemic icterus, liver outside, and have thin,杭州同济甲状腺专科医院 fast heart rate, thyroid enlargement and other symptoms; at the same time, despite their alanine transaminase and serum total bilirubin increased significantly, but the A, B, C, D, G hepatitis virus serum markers were negative for sex in three, while the total triiodothyronine, total thyroxine increased significantly. And finally diagnosed with hyperthyroidism with liver damage, and to give of hyperthyroidism and liver protection therapy and more. Hyperthyroidism liver damage, the reason is many sided, thyroxine may directly cause liver damage this news has a total of 2 page of