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    ( 1) T3 hyperthyroidism. T3 hyperthyroidism refers to the clinical manifestations of hyperthyroidism, but the serum TT4 and FT4 in normal or even low, only T3 heighten class of hyperthyroidism. ( 2) T4 hyperthyroidism is also called T4-type hyperthyroidism, refers to the serum TT4, FT4 increased, while TT3, FT3 normal class of hyperthyroidism. In 1975 Turner first reported T4 hyperthyroidism name, its clinical manifestations and 甲状腺typical hyperthyroidism is same, can occur in Graves disease, toxic nodular goiter or subacute thyroiditis, more common in the elderly poor general condition, such as severe infections, operation, malnutrition patients. Laboratory examination of serum TT4 and FT4 increased, TT3 and FT3 in normal. Thyroid 131I uptake rate increased significantly, thyroid tablets or T3 inhibition test abnormal. This disease needs and acute stress hyperthyroid ( false type T4 hyperthyroidism) phase differential. The so-called stress hyperthyroid patients is suffering from various acute or chronic systemic disease, because these diseases, serum TT4, FT4 increased and TT3,杭州市哪里治疗甲亢 FT3, normal or decreased, except in a few patients with goiter outside, otherwise no hyperthyroidism evidence, when the primary disease to cure, the laboratory indexes in the short term returns to normal. ( 3) children with hyperthyroidism. With onset after age 3 increased, 11-16 years the highest incidence, more girls than boys, a few calls all patients have diffuse thyroid enlargement and typical high metabolic syndrome is more common, exophthalmos. ( 4) of senile hyperthyroidism. Because the elderly physiological changes, its systemic organ function have varying degrees of decline, thyroid tissue in a certain degree of fibrosis and atrophy, thyroid hormone is secreted decrease, peripheral tissue responsiveness to thyroid hormone changes, senile hyperthyroidism clinical characteristics of thyroid enlargement: often, or mild swelling, accompanied by multiple 杭州市三医院甲状腺科nodules exophthalmos is not obvious; with or without proptosis, high metabolic syndrome is not clear, the lack of appetite hyperthyroidism, heat sweating and irritability and other symptoms; often associated with other cardiovascular diseases such as angina, and myocardial infarction, easy occurrence of arrhythmias and heart failure, see more persistent atrial fibrillation patients showed no desire; cool shape, weight lethargy, coma or stupor. ( 5) apathetic hyperthyroidism. This type is the special manifestation of hyperthyroidism. With typical symptoms of hyperthyroidism symptoms instead, neuropsychological performance as a depression of a hyperthyroidism. Apathetic hyperthyroidism clinical manifestations: loss of appetite, nausea, chills, dry skin, looked indifferent depression, to be indifferent to spiritual things around; thinking retardation, also answer questions retardation, sometimes difficult to focus attention, less lazy language; palpitations is more common, often accompanied by cardiac enlargement, congestive heart failure, atrial fibrillation, enophthalmos, binocular Gao lag atheism, or even a drooping eyelid. ( 6) latent hyperthyroidism. Latent hyperthyroidism refers to no typical symptoms of thyrotoxicosis, and to a system for outstanding performance in a class of hyperthyroidism. Clinical classification is:①spirit, with mental disorder as outstanding performance, with symptoms of inattention, attention deficit disorder, hallucinations, paranoia, depression, dementia, paranoid rage, even the Dutch act concept, anger etc.. The gastrointestinal form, often diarrhea as the outstanding performance. More common in young patients, stool frequency several times a day to more than a dozen times, mushy or sample, containing undigested food, some patients with vomiting or abdominal pain as the main symptom. Gastrointestinal type of hyperthyroidism with vomiting, diarrhea, often accompanied by 杭州市哪一家医院治疗甲亢技术好 water and electrolyte disturbance, if improper treatment of serious illness easily induced hyperthyroidism crisis, life-threatening. ③myopathic type, with myasthenia gravis and periodic paralysis as main manifestation. Hyperthyroidism symptoms not obvious or appear later. The clinical feature of acute, chronic thyrotoxic myopathy, periodic paralysis, myasthenia gravis and ophthalmoplegia.