甲状腺机能亢进症是常见于青壮年妇女的内分泌病,而老年人甲亢的临床表现往往不典型,容易误诊。我院自1968年至1979年共收治甲亢440例,其中50岁以上老年人甲亢50例,占11.33％。本文报道了这50例临床资料,并介绍了诊断体会。老年人甲亢诊断困难,大致由于以下几方面的原因:起病隐匿,某些常见的特征甲亢征象,如突眼、甲状腺肿大等在老年人不明显,而某些通常和甲亢相反的症状如食欲减退,心率不快等在老年人却相对比较常见,合并症多,心脏征象和乏力消瘦非常突出,以致掩盖或忽视了其他系统的表现。要减少误诊,首先要提高对甲亢的警惕性,仔细询问病史和全面检查各系统的表现,如 Hyperthyroidism is a common endocrine disease in young women, and the clinical manifestations of hyperthyroidism in the elderly are often not typical, easy to misdiagnosis. In our hospital from 1968 to 1979 were treated 440 cases of hyperthyroidism, of which 50 patients over the age of 50 hyperthyroidism, accounting for 11.33%. This article reports the 50 cases of clinical data, and introduced the diagnosis of experience. Hyperthyroidism in elderly diagnosis difficult, mainly due to the following reasons: insidious onset, some common features of hyperthyroidism signs, such as exophthalmos, goiter and so on in the elderly is not obvious, and some of the symptoms and hyperthyroidism usually the opposite Loss of appetite, poor heart rate, etc. are relatively common in the elderly, with many comorbidities, signs of the heart, and weakness and wasting so prominent that they mask or neglect the performance of other systems. To reduce misdiagnosis, we must first raise the vigilance of hyperthyroidism, carefully check the medical history and a comprehensive examination of the performance of the system, such as