甲状腺机能减退症患者临床表现复杂,误诊率较高[1]。随着检验技术和临床大夫对甲状腺机能减退症认识的提高,临床表现不典型的甲状腺机能减退症患者越来越被临床认识,作者在临床工作中遇到多例以心肌酶学升高为主要临床表现的甲状腺机能减退症患者,报告如下,以提高医务工作者对甲状腺机能减退症的认识。1病例资料1.1患者,男,65岁,因“乏力、眼睑浮肿2个月余”于2001年1月5日就诊。2月前患者出现乏力,且渐加重,伴眼睑浮肿,即来我院 Hypothyroidism patients with complex clinical manifestations, misdiagnosis rate is high [1]. With the improvement of the detection technique and clinician’s understanding of hypothyroidism, patients with atypical hypothyroidism are getting more and more clinical cognition. The author has encountered many cases in clinical work, which are mainly caused by the increase of myocardial enzymology The clinical manifestations of hypothyroidism are reported below, to raise awareness among medical workers on hypothyroidism. 1 case data 1.1 patients, male, 65 years old, due to “fatigue, eyelid edema more than 2 months ” in January 5, 2001 treatment. 2 months ago, patients with fatigue, and gradually heavier, with eyelid edema, that come to our hospital