目的 提高对腺垂体功能减退症的早期诊断水平,减少误诊.方法 回顾性分析2003年2月-2010年12月收治的11例首诊误诊的腺垂体功能减退症临床资料.结果 本组误诊为胃肠炎5例,误诊为低血糖、脑梗死各2例,误诊为缺铁性贫血、感染性休克各1例,误诊时间1 d～13个月.经相关检查确诊为腺垂体功能减退症,给予相应激素生理剂量替代治疗,平稳出院.结论 腺垂体功能减退症临床表现复杂多变,且早期缺乏特异性,容易误诊,但只要能早期正确诊断,给予激素替代治疗,一般预后较好.%Objective To improve the early diagnostic level of hypopituitarism and reduce misdiagnosis rate. Methods The clinical data of 11 patients with hypopituitarism who were misdiagnosed for the first time during February 2003 and December 2010 were retrospectively analyzed. Results There were 5 misdiagnosed cases of gastroenteritis, 2 cases of hypoglycaemia, 2 cases of cerebral infarction, 1 case of iron deficiency anemia and 1 case of septic shock. The misdiagnosed time was 1 d ~ 13 months. After related examinations all patients were finally diagnosed as having hypopituitarism and were given corresponding hormone of physiological dose. All patients were cured and discharged. Conclusion The clinical manifestation of hypopituitarism is multiplicity and may be easily misdiagnosed. Early correct diagnosis and application of hormone replacement therapy, are beneficial to prognosis.
展开▼
