甲状腺功能亢进性心脏病32例临床分析

Clinical Analysis of 32 Cases of Hyperthyroid Heart Disease

目的分析甲亢性心脏病临床特征,探讨容易发生误诊的因素,提高防治意识。方法对32例甲亢性心脏病患者临床表现进行综合分析。结果此组病例心律失常、心脏扩大和心力衰竭发生率分别为78.1%、37.5%、37.5%,甲亢性心脏病误诊率为40.6%,多发生于无高代谢综合征的老年患者。结论及时诊断、规范合理用药、避免感染是预防甲亢性心脏病的根本措施。甲亢性心脏病不伴高代谢综合征表现病例临床容易误诊,对原因不明的心律失常、心脏扩大和心力衰竭老年患者,应注意甲状腺功能检查。

Objective The clinical features of hyperthyroid heart disease and factors leading to misdiagnosis were analyzed in order to enhance the measures of prevention and cure. Methods Clinical feature was comprehensively analyzed in 32 cases of hyperthyroid heart disease. Results Arrhythmia, heart enlargement and heart failure were 78.1%, 37.5 % and 37.5 %, respectively in this group. Misdiagnosis of hyperthyroid heart disease was 40.6 %, of which most occurred in aged patients without high-metabolism syndrome. Conelusion To diagnose in time, to criterion treatment in reason and to avoid infection are the basic measures of preventing hyperthyroid heart disease. Misdiagnosis occurs in the cases of hyperthyroid heart disease with highmetabolism syndrome. Thyroid function examination should be taken in aged patients with arrhythmia, heart enlargement or undefined heart failure.