原发性甲状腺功能减退症(甲减)是内分泌科常见疾病,好发于中老年患者,起病隐匿,临床表现不典型且复杂多样,常首诊于非专科医生,极易漏诊、误诊。故结合该病例,现报道如下。1临床资料患者,男,65岁,因“全身水肿2年,加重2个月”于2016年8月10日入院。2年前出现全身水肿及乏力,无胸闷、胸痛及呼吸困难,无咳嗽、咳痰及畏寒、发热。 Primary hypothyroidism (hypothyroidism) is a common endocrine disease, occurs in middle-aged and elderly patients, onset of occult, clinical manifestations of atypical and complex and diverse, often first visit to non-specialists, easily missed diagnosis, misdiagnosis. So combined with the case, are reported below. 1 Clinical data Patients, male, 65 years old, due to “systemic edema 2 years, increased 2 months ” admitted on August 10, 2016. 2 years ago, systemic edema and fatigue, no chest tightness, chest pain and breathing difficulties, no cough, sputum and chills, fever.