甲状腺功能亢进症合并急性心肌梗死患者的临床分析

Clinical Analysis of Hyperthyroidism Complicated with Acute Myocardial Infarction

【目的】探讨甲状腺功能亢进症合并急性心肌梗死患者的临床特点。【方法】对本院收治的甲亢合并急性心肌梗死9例患者的临床资料进行分析。【结果】本组9例患者，在进行相应治疗后，均好转出院。溶栓治疗的3例患者中，胸痛在溶栓后未缓解1例，缓解2例。【结论】甲状腺功能亢进症合并急性心肌梗死，在年轻患者中易发，其发病可能与冠状动脉持续痉挛等有关，引起的临床后果较为严重，需采取有效措施早期诊断、治疗。

[Objective]To explore the clinical features of hyperthyroidism complicated with acute myocardi- al infarction. [Methods] Clinical data 0f 9 cases of hyperthyroidism complicated with acute myocardial infarc- tion admitted in our hospital were analyzed retrospectively. [Results] Nine patients in this group were all im- proved and discharged through the corresponding treatment. Among 3 patients receiving thrombolytic therapy, chest pain after thrombolysis had no remission in 1 patient and was relieved in 2 patients. [Conclusion]Hyper- thyroidism complicated with acute myocardial infarction is susceptible to young patients. The onset may be as- sociated with coronary continuous dynamic shape spasm. Clinical consequences may be serious. Therefore, the effective measures should be taken for early diagnosis and treatment.