临床上典型甲状腺机能亢进症(简称甲亢)诊断一般不难,而一些不典型病人,没有突眼和甲状腺肿大,代谢亢进表现不明显,而以某种症状较为突出,往往被误诊为其它系统的疾病,而忽略其基本疾病为甲亢。现举一些非典型甲亢病例加以分析。并浅谈诊断体会。一、以某一系统为突出表现,掩盖了甲亢症状例1、女,已婚,53岁,农民。慢性腹泻一年余伴进行性消瘦,大便每日3—5次,多为黄稀便,有时为泡沫及不消化食物,无脓、血,无里急后重感。院外诊断:(一)慢性肠炎、肠功能紊乱;(二)结肠癌待排除。反复作大便培养,乙状镜检等有关检查,但均无异常发现。先后用多种抗菌素及对症处理症状不减,日渐消瘦即转入我院诊治。由于患者腹泻特点引起我们对甲亢的警惕,着重检查了甲状腺,甲状腺不 Clinical diagnosis of typical hyperthyroidism (referred to as hyperthyroidism) is not difficult to diagnose, and some atypical patients, without exophthalmos and goiter, metabolic hyperfunction was not obvious, but to some of the more prominent symptoms, often misdiagnosed as other systems Of the disease, while ignoring its basic disease as hyperthyroidism. Now give some cases of atypical hyperthyroidism be analyzed. And talk about the diagnosis experience. First, to highlight the performance of a system to cover the symptoms of hyperthyroidism 1, female, married, 53 years old, farmer. Chronic diarrhea more than a year with progressive weight loss, stool 3-5 times a day, mostly yellow loose stools, and sometimes foam and indigestible food, no pus, blood, no tenesmus. Outpatient diagnosis: (a) chronic enteritis, intestinal disorders; (b) colon cancer to be excluded. Repeated stool training, sigmoidoscopy and other related tests, but no abnormal findings. Has a variety of antibiotics and symptomatic treatment unabated symptoms, getting weight that is transferred to our hospital for diagnosis and treatment. Due to the characteristics of patients with diarrhea caused by our vigilance on hyperthyroidism, focusing on the thyroid, thyroid