目的　提高甲状腺功能减退症临床早期诊断率并探讨早期防治措施及意义。方法　对 93例甲状腺功能减退症患者从病程、病因、临床表现、辅助检查、疾病转归及误诊情况进行分析。结果　甲状腺功能减退症病因及临床表现繁杂 ,初诊误诊率高。结论　应重视本病特殊临床表现及早检查甲状腺功能 ,并予以合理替代治疗 ,是早期防治的关键。 Objective To improve the clinical early diagnosis rate of hypothyroidism and to explore the early prevention and treatment measures and its significance. Methods 93 cases of hypothyroidism patients from the course of disease, etiology, clinical manifestations, laboratory examinations, disease outcome and misdiagnosis were analyzed. Results Etiology and clinical manifestations of hypothyroidism complicated misdiagnosis rate of the first visit. Conclusions Should pay special attention to the special clinical manifestations of this disease early check thyroid function, and to be a reasonable alternative treatment is the key to early prevention and treatment.