56例甲状腺功能亢进性心脏病临床特点分析

目的探讨甲状腺功能亢进(简称甲亢)性心脏病患者的临床特点。方法搜集佛山市三水区人民医院于2005年1月-2009年12月收治的56例甲亢性心脏病的临床资料,并进行统计学分析。结果 56例甲亢性心脏病中男性20例,女性36例,临床表现主要为:心悸、胸闷、气促症状40例(71.0%);各种心律失常42例(75.0%),其中:窦性心动过速9例(16.1%),持续性心房颤动29例(51.8%),心房扑动3例(5.4%),房性早搏7例(12.5%),室性早搏6例(10.7%),不同类型心律失常可出现在同一患者;心力衰竭40例(71.0%),心绞痛发作8例(14.0%)。结论甲亢性心脏病治疗的重点是明确诊断,应排除其他各种心血管性疾病并发的甲状腺功能亢进症,在确定患者甲亢的基础上表现有心律失常、心脏扩大和心力衰竭等方可确诊。

Clinical Feature on 56 cases of Hyperthyrotoxic Heart Diseases

Objective To investigate the clinical feature of hyperthyroid heart diseases.Methods Clinical feature were retrospectively analyzed in 56 cases(from Jan.2005 to Dec.2009) of hyperthyrotoxic heart diseases in our hospital by the means of statistics.Results In the 56 cases,20 were male and 36 were female;40 cases were of palmus,chest tightness and anhelation altogether(71.0%);42 cases were of arrhythmia(75.0%) including 9 cases of sinus tachycardia(16.1%),29 cases of constant atrial fibrillation(51.8%),3 cases of artial flutter(5.4%) and 7 cases of atrial premature beat(12.5%);and 40 cases were of heart failure(71%) as well as 8 cases of arrhythmia(14%).Conclusion Confirmed diagnosis was the key of the treatment of hyperthyrotoxic heart diseases.Hyperthyroidism complicated by other cardiovascular diseases should be eliminated.While the patients were confirmed with hyperthyreosis which were also accompanied by arrhythmia,heart enlargement and heart failure,then they can be diagnosed as hyperthyrotoxic heart diseases.