隐匿性抑郁症以顽固性失眠为主要临床表现的病例尚少报告。1980年以来我们用小剂量阿密替林治疗16例,疗效明显,报告如下。一、一般资料:男3例,女3例;年龄30～50岁11例,50岁以上5例;病期2～6年12例,10年以上4例。诊断为神经官能症9例,植物神经失调症3例,脑外伤后遗症2例,精神分裂症1例,1例未下诊断。 Occult Depression To stubborn insomnia as the main clinical manifestations of the few cases reported. Since 1980, we treated a small dose of amitriptyline 16 cases, the effect is obvious, the report is as follows. First, the general information: 3 males and 3 females; aged 30 to 50 years in 11 cases, 5 years of age over 5 cases; 2 to 6 years of disease in 12 cases, more than 10 years in 4 cases. Diagnosis of neurosis in 9 cases, autonomic dysfunction in 3 cases, 2 cases of traumatic brain injury, schizophrenia in 1 case, 1 case without diagnosis.