甲状腺功能减退症(下称甲减)90％～95％。以上是由甲状腺本身疾病引起,称原发性甲减,是老年人常见的疾病,尤常见于老年女性。如能及时诊断,进行合理的替代治疗,患者可以很好地生活;但因病情隐匿进展常易误诊,或因诊断过晚,心脏严重受累无法治疗,以致影响生活和工作,严重时可发生粘液水肿性昏迷危及生命。下面介绍一例不典型甲减患者的临床诊治经过,希望医生们能从中吸取一些教训。 1 临床资料 Hypothyroidism (hereinafter referred to as hypothyroidism) 90% to 95%. These are caused by thyroid disease itself, said the primary hypothyroidism, is a common disease in the elderly, especially in elderly women. If timely diagnosis, reasonable replacement therapy, the patient can live well; but because of the progress of the disease often easy to misdiagnosis hidden, or because the diagnosis is too late, the heart can not be seriously affected by treatment, affecting life and work, may occur in severe mucus Edema coma is life threatening. The following describes a case of atypical hypothyroidism in clinical diagnosis and treatment after the hope that doctors can learn some lessons from. 1 clinical data