为提高对不典型甲亢危象临床及时诊断、抢救、降低死亡率诊疗水平,本文对14例不典型甲亢危象病例进行了临床分析。结果发现;该病发生率(占甲亢病人)7.5％,较文献报道0.8％高,早期诊断困难,误诊率高达71％,分别误诊为慢性胃炎、黄疸型肝炎、食道癌及一般甲亢,文献报道该病死亡率为50—75％,本组14例死亡5例,死亡率35.7％。本文就不典型甲亢危象诊断线索进行探讨。 In order to improve the diagnosis and treatment of atypical hyperthyroidism crisis clinically, 14 cases of atypical hyperthyroidism crisis were analyzed clinically. The incidence of this disease (accounting for hyperthyroidism patients) 7.5%, 0.8% higher than reported in the literature, early diagnosis difficult, misdiagnosis rate as high as 71%, were misdiagnosed as chronic gastritis, jaundice hepatitis, esophageal cancer and general hyperthyroidism, reported in the literature The disease mortality was 50-75%, the group of 14 patients died in 5 cases, the mortality rate of 35.7%. This article discusses the diagnosis of atypical crisis of hyperthyroidism clues.