摘要
目的分析甲亢性心脏病临床特征及治疗方法,探讨容易发生的误诊因素。方法回顾性分析76例甲亢性心脏病患者的临床资料。结果甲亢性心脏病患者的临床表现多不典型,多数发生于甲亢病程较长、中老年甲亢患者(72.3%),甲状腺肿大多表现为结节型(46.0%),心律失常、心脏扩大和心力衰竭发生率分别为86.8%、51.3%和26.3%;甲亢性心脏病误诊率14.4%,多发生于老年患者。结论应提高对甲亢性心脏病的认识,对原因不明的心律失常、心脏扩大或心力衰竭的老年患者,应注意甲状腺功能检查。
Objective To analysis the clinical characteristics of hyperthyroid heart disease(HHD)and therapeutic methods,discuss the causes of maldiagnostic.Methods Retrospective analysis clinical data of 76 cases of hyperthyroid heart disease.Results Most of the HHD patients has atypical clinical appearnce of hyperthyroidism.The HHD usually happened on the long history or mid-aged hyperthyroidism patients (72.3%),the pathological change is nodular thyroid enlargement (46.0%).Arrhythmias (86.8%),is the first complication of HHD,the second,heart enlargement (51.3%),the third is heart failure (26.3%) maldiagnostic rate of HHD is 14.4%,on aged patients.Conclusion Physicians should better recognize the HHD.One would cheek up the thyroid function for those unknown arrhythmias,heart enlargement or heart failune during clinical trial.
出处
《中国医药导报》
CAS
2006年第15期24-25,共2页
China Medical Herald
