甲状腺功能减退(甲减)临床表现复杂,易误诊。我院曾有20例甲减误诊,特分析如下。1 5例因血红蛋白降低误诊为贫血 例1:女,26岁。因头晕、乏力、畏寒、食欲减退、记忆力差、腹胀便秘3个月,Hb42g/L,多次在门诊按缺铁性贫血治疗无效而住院。查体:反应迟钝,面色苍黄,毛发干燥、眼睑浮肿。双肺(-)。心率52次/min,律整。腹软,肝脾不大。 Hypothyroidism (hypothyroidism) clinical manifestations of complex, easily misdiagnosed. There have been 20 cases of hypothyroidism in our hospital misdiagnosed, special analysis is as follows. 15 cases of misdiagnosed as anemia due to decreased hemoglobin Case 1: Female, 26 years old. Due to dizziness, fatigue, chills, loss of appetite, poor memory, abdominal distension and constipation 3 months, Hb42g / L, several times in the clinic invalid treatment of iron deficiency anemia and hospitalization. Physical examination: unresponsive, pale yellow, dry hair, eyelid edema. Double lung (-). Heart rate 52 times / min, the law. Abdominal soft, small spleen and liver.