老年性甲状腺功能亢进性心脏病31例临床分析

Clinical analysis of hyperthyroid heart disease in 31 elderly patients

对到31例老年性甲状腺功能亢进(甲亢)性心脏病进行了临床分析,其中误诊15例,误诊率达48、4%,误诊时间4月-3年。误诊为冠心病者9例,肺源性心脏病者3例,高血压性心脏病者2例,扩张性心肌病者1例。作者认为临床医师提高对老年人甲亢的认识,仔细询问病史,系统体格检查并及时做甲状腺功能检测,能降低老年甲亢性心脏病的误诊率。

A clinical analysis of hyperthyroidism heart diseases was conductcd in 31 elderly patients, of whom 15 (48.4%) hadbeen misdiagnosed before accurate diagnoses were reached 4 months to 3 years later. Among the 15 misdiagnosed cases, 9were misdiagnosed as coronary heart disease, 3 as pulmonaly heart disease, 2 as hypertension heart disease and 1 as dilatedcardiomyopathy. This result suggests that physicians need to be more aware of elderly hyperthyroidism, and thorough historyinquiry, systemic examination and timely thyroid function test can reduce the misdiagnosis of hyperthyroid heart disease in el-derly patients.