老年甲状腺功能亢进性心脏病48例临床分析

目的探讨我院收治的48例老年甲状腺功能亢进性心脏病患者的诊断和治疗方法。方法选择收治的48例老年甲状腺功能亢进性心脏病患者为研究对象,所有患者均经甲状腺功能检测TSH值低于参考范围的下限,FT3和/或FT4高于参考范围的上限,心电图检查患者出现心脏一侧或双侧增大、右心衰或全心衰、心律失常和心肌缺血等症状,根据甲状腺功能检测和心电图检查确诊为甲状腺功能亢进性心脏病,所有患者均给予口服丙基硫氧嘧啶治疗,并根据患者病情给予对症治疗,在治疗前以及随访后检测FT3、FT4、TSH、LVEDD、LVESD、LVEF。结果 48例患者经过治疗后,FT3、FT4、TSH、LVEDD、LVESD、LVEF与治疗前比较具有显著性差异(P<0.05),具有统计学意义,心功能明显好转,经过治疗后总有效率为97.91%。结论老年甲亢性心脏病患者由于临床表现不典型,在诊断时容易误诊和漏诊,临床诊断时要详细询问病情,辅助实验室检查,确诊后积极给予有效地治疗,临床治疗效果较好。

Objective Of elderly hyperthyroid heart disease diagnosis and treatment.Methods Reviewed 48 cases of hyperthyroidism in the treatment of elderly patients with heart disease. After thyroid function tests and ECG diagnosis of hyperthyroidism, heart disease. Given iodine treatment or oral propylthiouracil, given symptomatic treatment, Before treatment and follow-up testing FT3, FT4, TSH, LVEDD, LVESD, LVEE Results After treatment, FT3, FT4, TSH, LVEDD, LVESD, LVEF before treatment was significant difference between comparable, heart function significantly improved after treatment, the total effective rate was 97.91%.Conclusion Elderly patients with hyperthyroid heart disease with atypical clinical manifestations, misdiagnosis and missed diagnosis, clinical diagnosis when asked in detail about the disease, combined with laboratory tests, treatment and give symptomatic treatment of hyperthyroidism, treatment is better.