甲状腺功能亢进性心脏病14例

Clinical Analysis of 14 Children with Hyperthyroid Cardiac Disease

目的 探讨儿童甲状腺功能亢进（甲亢）性心脏病的临床特征、治疗及预后。方法对住院治疗的年龄为5～14岁的14例甲亢性心脏病进行回顾性分析。结果甲亢性心脏病患儿14例均有不同程度心脏扩大、心律失常、心力衰竭（心衰），经治疗。13例于2周时临床症状减轻或消失。4～6周时心脏扩大、心律失常及心衰消失，1例因反复心衰死亡。结论儿童甲亢性心脏病是可治的，心血管改变可逆转，关键在于提高认识，及早做甲状腺功能及心血管系统检查并早期给予有效治疗。

Objective To explore the clinical characters, therapy and prognoses of hyperthyroid cardiac disease in children. Method Fourteen hospitalized cases with hyperthyroid cardiac disease （5 - 14 years old） collected from January 2001 to January 2005 were analyzed retrospectively. Results Fourteen children with hyperthyroid cardiac disease had different degree of enlarged of heart, arrhythmia and heart failure. All of the cases were received treatment of hyperthyroidism and anti - arrhythmia. After admission for 2 weeks, the symptoms of 13 cases relived or disappeared, and after 4 - 6 weeks the enlarged heart, arrhythmia and heart failure disappeared. One ease died after recurrent heart failure. Conclusions Hyperthyroid cardiac disease in children can be curative and the changes of cardiac blood - veasel can be recuperative. It is critical for doctors to know the manifestations of hyperthyroidism and take the cardiac examination and the function of the thyroidism and take proper treatment as soon as possible.