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甲状腺机能亢进症(简称甲亢),如临床表现不典型,或以某一系统症状为突出表现,而甲亢之其它症状轻微、缺如者,常致误诊。文献报告甲亢症状不典型患者约占20％。我院内科1970年至1979年,共收治甲亢患者303人,其中表现不典型者61人,占20.1％。现将我组部分非典型甲亢病例报告于下。一、以吞咽困难,声音嘶哑为主者男,52岁。7月前,进固体食物时吞咽困难,声音嘶哑,食量由每日7～8两减至3～4两,体重下降,恶心,呕吐。作食道摄片、食道细胞拉网、胃镜等检查,排除了胃肠道肿瘤。2月前,出现心悸手抖,不能坚持工作。体检:甲状腺1°肿大,质软,心率81次/分,律齐。甲状腺吸
Hyperthyroidism (referred to as hyperthyroidism), such as atypical clinical manifestations, or to highlight the performance of a system of symptoms, and other mild hyperthyroidism, lack of, often misdiagnosed. Reported in the literature about atypical hyperthyroidism patients account for about 20%. In our hospital from 1970 to 1979, a total of 303 hyperthyroidism patients were treated, of which 61 were atypical, accounting for 20.1%. Now part of my group atypical cases of hyperthyroidism reported in the next. First, to swallowing difficulties, the main hoarse voice male, 52 years old. 7 months ago, into the solid food dysphagia, hoarseness, food intake from 7 to 8 reduced to 3 to 4 two, weight loss, nausea and vomiting. For esophageal radiography, esophageal cell pull net, endoscopy and other tests, excluding gastrointestinal tumors. 2 months ago, palpitation and trembling, can not adhere to work. Physical examination: thyroid 1 ° swollen, soft, heart rate 81 beats / min, law Qi. Thyroid suction