典型的甲状腺机能亢进(以下简称甲亢)的诊断,一般并不困难,但在发病初期或以某些伴发症为突出表现的不典型病例中常易误诊。现将甲亢误诊1例报告如下:患者男,27岁,住院号:21008。患者77年始有腹泻,呈黄稀或果酱便,一日5～10次,伴低烧,无腹痛及里急后重。在军内外医院曾多次按肠炎、痢疾治疗,均未奏效。82年初,因腹泻加重伴心慌气短、下肢浮肿,不能平卧,但食欲尚好,曾以肠炎、心肌炎、心衰先后两次住我院治疗,但每次出院后约一周左右,前述症状即复发加重。83年5月份第3次住我院。查体:体温37.4℃,脉搏135次,血压140/80mm Hg。发育正常,营养差,体质消瘦。眼球稍突出, The typical diagnosis of hyperthyroidism (hereinafter referred to as hyperthyroidism) is generally not difficult, but in the early onset or some of the most common manifestations of atypical cases are often misdiagnosed. A case of misdiagnosis of hyperthyroidism are reported as follows: Male patient, 27 years old, hospital number: 21008. Patients with diarrhea began in 77 years, was yellow or jam it, 5 to 10 times a day, with low-grade fever, no abdominal pain and tenesmus. In the military hospital has repeatedly according to enteritis, dysentery treatment, did not work. Early 82, due to increased diarrhea with palpitation shortness, lower extremity edema, can not lie down, but the appetite is good, had enteritis, myocarditis, heart failure has twice lived in our hospital, but about one week after each discharge, the symptoms of recurrence Increase. 83 in May for the third time in our hospital. Physical examination: body temperature 37.4 ℃, pulse 135 times, blood pressure 140 / 80mm Hg. Normal development, poor nutrition, weight loss. Eye slightly prominent,