原发性甲状腺功能减退症(简称甲减症)是一种常见病,由于本病容易引起多脏器器官损害,临床表现复杂多样,容易误诊。现将1992年～2000年的12例误诊病人报告如下: 1.临床资料 12例误诊患者中男5例,女7例,年龄36～78岁,平均62.5岁,以“胸闷、气短、乏力”为主诉。心脏B超示:心脏大,心室壁增厚,心包积液。心电图:低电压,ST—T段改变,误诊为冠心病、心功能不全者3例。以“食欲不振、乏力、颜面苍白,双 Primary hypothyroidism (hypothyroidism) is a common disease, due to the disease easily lead to multiple organ damage, complex and diverse clinical manifestations, easy to misdiagnosis. Now 1992 ~ 2000 12 cases of misdiagnosed patients are as follows: 1. Clinical data 12 cases of misdiagnosed patients, 5 males and 7 females, aged 36 to 78 years, mean 62.5 years old, with “chest tightness, shortness of breath, fatigue” Main complaint. B ultrasound show heart: a large heart, ventricular wall thickening, pericardial effusion. ECG: low voltage, ST-T segment changes, misdiagnosed as coronary heart disease, cardiac insufficiency in 3 cases. With "loss of appetite, fatigue, pale face, double