甲状腺功能亢进性心脏病52例的临床分析

目的探讨甲状腺功能亢进性心脏病（甲亢心）的临床特点,以提高甲亢心的防治经验。方法本研究对我科2006年1月~2009年10月收治的52例甲亢心患者临床资料进行回顾性分析。结果甲亢心多数发生于其病程较长,本组患者心律失常44例（84.6%）,心脏扩大38例（73%）,心力衰竭36例（69.2%）,误珍8例（15.3%）。结论甲亢心临床表现多种多样,对原因不明的心律失常,心力衰竭及心脏扩大的患者应常规筛查甲状腺功能,早期发现和诊断,以防止误诊和漏诊。

The clinical analysis in 52 cases of hyperthyroid heart disease

Objective To explore clinical feature of hyperthyroid heart disease,and enhance measure of prevention and cure.Methods Clinical datas of 52 cases with hyperthyroid heart disease from January 2006 to October 2009 were retrospectively reviewed.Results Arrhythmia,heart enlargement and heart failure were 84.6%,73% and 69.2%,respectively in this group.Misdiagnosis of hyperthyroid heart disease was 15.3%,of which most had long course of disease without high-metabolism syndrome.Conclusion Thyroid function examination should be taken rountingly in aged patients with Arhythmia,heart enlargement or heart failure which causes were unknown.To diagnose and criterion treatment in time,this avoid misdiagnosis of hyperthyroid heart disease.