甲状腺机能亢进心脏病68例临床表现与疗效分析

对30年来收治的68例甲亢心脏病进行了分析。本病的临床表现具有多样性,其概念应进一步扩大。EF与△D％对本病心功能的判定应结合临床。对甲状腺功能的观察T_3与BMR优于T_4;抗甲状腺药物对心衰的有效率为93.11％,心律失常为83.1％:对心绞痛效果亦好。放射性碘治疗17例,除5例失访外,全部治愈。抗甲状腺药物不能转复的房颤、房扑,胺碘酮有确切的效果,但须合理用药,以防高碘诱发甲亢。

Clinical Manifestations and Therapy of 68 Cases of Hyperthyroid Heart Diseases

68 patients with hyperthyroid heart diseases admitted to Xijing hospital in recent 30 years were analysed. It was found that the incidence increased with age. Females were more admitted than males (2.1 = 1). The clinic;! features were cardiac enlargement (64.7%), arrhythmias (63.25%), congestive heart failure (42.7%), angina (2.9%), and various abnormal electrocardiograms. The cure rates of antithy-roid drugs were 55.75% for heart failure and 83.7% for arrhythmi is while the remission rates were 37.9% and 48.8% respectively. 17 cases treatec. by radioiodine cured except 5 cases lost in follow up. 5 patients with atrial fibrilation and flutter were respond well to amiodarone after failing with antithyroid drugs, and returned to sinus rhythm, provided the dose and method used are just the, the amiodarone is an effective drug and safe for relapse or deterioration of thynotoxicosis.