放射性~（131）碘治疗124例甲亢性心脏病临床结果分析

目的：探讨甲亢性心脏病的临床特点及131碘治疗的疗效分析。方法：对124例甲心病患者的临床资料及131碘治疗后疗效进行回顾性分析。结果：甲亢患者中甲心病发生率为8.6%,各年龄段均可发病,但40～60岁年龄段较高;甲亢病程越长甲心病发生率越高;甲心病131碘治疗的治愈率为87.9%;甲心病心律失常类型较多,以房颤最为多见;131碘治疗后,各种心律失常复律百分率均大于80%。结论：甲亢患者并发甲心病的发病率与甲亢病程成正相关。早期正确诊断甲心病,可明显提高甲心病的疗效。131碘治疗是目前甲心病的最佳治疗方法。

The Clinical Analysis of 124 Patients with Hyperthyroid Heart Disease

Objective：To analyze the clinical characteristics and therapeutic effect by iodine-^131 treatment in patients with hyperthyroid heart disease （HHD）. Methods：The clinical materials and therapeutic effect by iodine-^131 were reviewed in 124 patients with HDD. Results.. The rate of HHD in patients with hyperthyroidism was 8. 6%. HDD appeared in different age groups, especially the people between 40 and 60. The rate of HDD become higher as the history of hyperthyroidism was longer. The cure rate of HHD treated by iodine-^131 was 87.9%. There were many types of arrhythmia in patients with HHD, but arterial fibrillation was the most common arrhythmia. More than 80% patients with HHD were cured after the treatment by iodine-^131. Conclusion.. The incidence of HHD is directly proportional to the course of hyperthyroidism. It can clearly improve the treatment effect with HHD diagnosed correctly and early. Treatment with iodine-^131 is the best way at the momnet.