摘要:目的 探讨成人原发性甲状腺功能减退症的临床特点并进行误诊原因分析。 方法 对1994年1月～2004年12月诊断为原发性甲状腺功能减退症107例住院患者的临床资料进行回顾性分析。 结果 原发性甲状腺功能减退症多发生于中老年，女性明显多于男性。慢性自身免疫性甲状腺炎是原发甲减的主要原因。初诊患者94例误诊45例，误诊率47.8%。 结论 原发性甲状腺功能减退症可致多系统损害，临床表现多样，极易造成误诊。提高对本病的认识，结合临床表现进行必要的甲状腺功能检查是提高诊断率的关键。

    关键词:原发性甲状腺功能减退症;多系统损害;误诊

    Clinical analysis of107primary hypothyroidism patients.

    LI Li-juan，ZHANG Cui-ling.

    (Affiliated Hospital of Hainan Medical College，Haikou570102，Hainan，P.R.China)

    Abstract:Objective To analyze the features of primary hypothyroidism and the causes of misdiagnosis. Methods The data of107adults primary hypothyroidism admitted to the hospital from Jan.1994to Dec.2004were analyzed retrospectively. Results Primary hypothyroidism mostly occurred to the people of middle and elderly age group and female patients were obviously more than male ones.Chronic autoimmune thyroiditis was a main cause of primary hypothyroidism.Out of94initially diagnosed cases45wre misdiagnosed with a misdiagnostic rate of47.8%. Conclusion Primary hypothyroidism can result in multisystem damage and the clinical manifestation are diverse in addition to that misdiagnosis often occur.The test of function of thyroid gland is the key measure for correct diagnosis of the disease. ......