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老年甲亢性心脏病误诊原因分析(附297例报告)

Old Misdiagnosis of hyperthyroid heart disease (report of 297 cases)
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摘要 目的:分析老年型甲亢性心脏病的临床特征,提高老年型甲亢性心脏病的正确诊断率,减少误诊.方法:回顾性总结分析近年期刊297例老年型甲亢性心脏病误诊患者的临床资料.结果:误诊为冠心病170例,高血压心脏病45 例,扩张型心肌病18例,风心病17例,肺心病9例 心肌炎6例.结论:老年型甲亢性心脏病临床表现多样,应认真询问病史,详细检查,进行必要的辅助检查,对老年患者不明原因的心律失常、心脏扩大或心衰应注意甲状腺功能的检查. Objective:To analyze the old type of clinical features of hyperthyroid heart disease, improve the elderly hyperthyroidism the rate of correct diagnosis of heart disease, reduce misdiagnosis. Methods: In recent years, retrospectively analyzed 297 cases of senile hyperthyroidism journal of clinical data of patients with heart disease misdiagnosed. Results: 170 cases misdiagnosed as coronary heart disease, hypertension and heart disease 45 cases, 18 patients with dilated cardiomyopathy, rheumatic heart disease in 17 cases, 9 cases of myocarditis, pulmonary heart disease in 6 cases. Conclusion;The old-type variety of clinical manifestations of hyperthyroid heart disease should be carefully asked about the history, detailed examination, necessary laboratory examinations, of unknown causes in elderly patients with cardiac arrhythmia, enlarged heart or heart failure should be noted that examination of thyroid function.
出处 《按摩与康复医学》 2010年第20期126-127,共2页 Chinese Manipulation and Rehabilitation Medicine
关键词 老年人 甲亢性心脏病 误诊 原因分析 预防措施 The senior citizen Armor high heart disease Error diagnostic Reason analysis Preventive measure
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  • 1胡善友.甲状腺功能亢进性心脏病[J].医学综述,1996,2(11):602-604. 被引量:9
  • 2赵志明 韩其蔚 见:唐其柱 张永珍 刘昌慧 主编.老年心血管病合并甲状腺机能亢进[A].见:唐其柱,张永珍,刘昌慧,主编.临床老年心脏病学.第1版[C].北京:科学技术文献出版社,2000.412-413. 被引量:4
  • 3史轶蘩.协和内分泌和代谢学[M].北京:科学出版社,2000,1.1120. 被引量:51

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