承德地区为河北省地方性甲状腺肿流行区之一。1962年曾对该地区3156人进行调查,地方性甲状腺肿发病率,男性为32.5%,女性为55.8%,总计44.6%;地方性克汀病发病率,男性为2.5%,女性为2.3%,总计2.4%。本文系对地方性克汀病的临床观察,碘代谢的研究及散发性克汀病与地方性克汀病的区别问题三个方面初步分析总结的第一部分(临床观察)。承德地区80例(其中76例居住于喇嘛寺,罗汉堂,二道河子三个观察点,2例居住于双峰寺,另2例居住于苍子)。地方性克汀病患者多系儿童,并与当地儿童 Chengde is one of endemic goiter endemic areas in Hebei Province. A survey of 3,166 people in the area was conducted in 1962. The prevalence of endemic goiter was 32.5% in men and 55.8% in women, accounting for a total of 44.6%. The incidence of endemic cretinism was 2.5% in males and 2.3% in females, Total 2.4%. This article is the first part (clinical observation) of three aspects of the clinical observation of clinical cretinism, the study of iodine metabolism and the difference between sporadic cretinism and endemic cretinism. There were 80 cases in Chengde (76 of them lived in Lama Temple, Luohan Hall and Erdahezi, 2 in Shuangfeng Temple and 2 in Cubei). Local cretinism patients with multi-line children, and with local children