典型的原发性甲状腺机能减退症(甲减)临床诊断并不困难,但由于早期症状缺乏特征性且临床表现复杂多变,有时极易漏诊、误诊。现将我院自1995年以来所遇到的不典型甲减14例作一临床分析,现报道如下。 1 临床资料 本文14例占本院同期确诊为甲减60例的23.3％,其中男4例(28.6％),女10例(71.4％)。男女之比为1:2.5。年龄28岁～57岁,平均48.3岁,病程1个月至2年。平均11个月。临床表现酷似冠心痛7例(50％);周期性瘫痪4例(28.6％);躁狂抑郁症3例(21.4％)。本组14例患者均经检测血T_3(正常值1.22～3.37nmol/L),T_1 A typical primary hypothyroidism (Hypothyroidism) clinical diagnosis is not difficult, but because of the lack of early symptoms and the clinical manifestations of complex and varied, and sometimes easily missed diagnosis, misdiagnosis. Now our hospital since 1995 encountered atypical hypothyroidism for a clinical analysis of 14 cases are reported below. 1 The clinical data of 14 cases accounted for this hospital over the same period diagnosed as hypothyroidism in 60 cases of 23.3%, including 4 males (28.6%) and 10 females (71.4%). The ratio of male to female is 1: 2.5. Aged 28 to 57 years old, average 48.3 years old, duration of 1 month to 2 years. Average 11 months. Clinical manifestations resembled 7 cases of crown pain (50%); 4 cases of periodic paralysis (28.6%); 3 cases of manic depression (21.4%). The group of 14 patients were detected by blood T_3 (normal 1.22 ~ 3.37nmol / L), T_1