典型的甲亢临床上较易诊断,但临床上有些病人甲亢症状不典型,如以房颤、低钾软瘫、肌病等为首发症状。我院自1995年1月至1997年7月内科共收治甲亢患者55例(男24例,女31例),其中有6例(占住院甲亢患者的10.91％)均以恶心、呕吐为主要症状,疑及消化道恶性肿瘤收住消化科病房。现报告如下。 1 临床资料 6例均为女性,年龄42～76岁(平均59.5岁),均有恶心、呕吐、纳差、消瘦,其中1例有进行性吞咽困难,1例有上腹阵发性疼痛,1例伴有腹泻。6例患者均无头痛,均缺乏甲亢的高代谢症群,无怕热多汗、心悸、纳亢,无脾气急躁,甲状腺无明显肿大,亦 Typical hyperthyroidism clinically more easily diagnosed, but some patients with clinical symptoms of atypical hyperthyroidism, such as atrial fibrillation, hypokalemia, paralysis, myopathy as the first symptom. In our hospital from January 1995 to July 1997, a total of 55 cases of hyperthyroidism were treated (24 males and 31 females), of which 6 (accounting for 10.91% of patients with hyperthyroidism) were the main symptoms of nausea and vomiting Suspected gastrointestinal cancer admitted to the Department of Gastroenterology Ward. The report is as follows. 1 clinical data of 6 cases were female, aged 42 to 76 years (mean 59.5 years), were nausea, vomiting, anorexia, weight loss, of which 1 case of progressive dysphagia, 1 case of abdominal paroxysmal pain, 1 case accompanied by diarrhea. None of the 6 patients had headache, lacking hypermetabolism group of hyperthyroidism, no fear of hyperhidrosis, heart palpitations, hyperactivity, irritability, no obvious enlargement of thyroid gland