甲状腺功能亢进性心脏病81例临床分析

The Clinical Analysis of 81 Patients with Hyperthyroid Cardiopathy

目的探讨甲状腺功能亢进性心脏病的防治措施。方法回顾分析2000年7月至2007年7月收治的81例甲状腺功能抗进性心脏病的临床资料。结果81例患者经服甲状腺药物治疗,随甲亢病情缓解,心力衰竭好转。36例心房纤颤患者中,23例恢复窦性心律,其余13例心室率均控制在70-100次/min。结论甲亢性心脏病治疗的关键在于早期诊断、尽快控制甲亢,甲亢控制后,绝大部分心脏异常可以减轻或消失。

Objective To investigate the prophylaetieo-therapeutie measures with hyperthyroid eardiopathy. Methods To retrospect the clinical data of 81 Patients with hyperthyroid eardiopathy in hospital from July 2000 to July 2007. Results The 81 patients with thyrotoxieosis condition and heart failure were improved by pharmacological treatment. 23 cases of 36 cases with atrial fibrillation restored sinus rhythm, the heart rate of other 13 cases was controlled by 70-100times/min. Conclusion The key to the treatment of hyperthyroid eardiopathy is to be diagnosed early and control thyrotoxieosis as quickly as possible. Most of heart disorder can lighten or disappear after thyrotoxieosis is controlled.