内分泌病合并精神异常的发生率很高,临床表现不一,常易误诊,特别是以精神症状为突出表现时,往往与精神病相似,难以鉴别,但二者处理截然不同,为防止误诊,熟悉内分泌病的精神异常很有必要。甲状腺功能亢进甲亢患者通常有神经过敏、烦躁、多动、失眠等神经系统症状,严重病例可出现狂躁、嗜睡、抑郁,淡漠,呆滞、幻觉、幻想、哭泣等精神异常。国内报告精神异常占甲亢总人数的0.2%～48.2%,一般在3%～7%之间。有人在不到三年的时 Endocrine disease with high incidence of mental disorders, clinical manifestations are different, often misdiagnosed, especially when the mental symptoms are prominent, often with mental illness is difficult to identify, but both very different treatment, in order to prevent misdiagnosis, familiar with Endocrine disorders are necessary. Hyperthyroidism hyperthyroidism patients usually have neurological symptoms such as irritability, irritability, hyperactivity and insomnia. Serious abnormalities may occur in severe cases such as manic, drowsiness, depression, indifference, sluggishness, hallucinations, fantasies, and crying. Domestic mental abnormalities accounted for 0.2% to 48.2% of the total number of hyperthyroidism, usually between 3% to 7%. Someone in less than three years