甲状腺功能亢进性心脏病58例临床分析

目的分析甲亢性心脏病(简称甲亢心)临床特征，探讨容易发生误诊的因素，提高防治意识。方法对58例甲亢性心脏病患临床表现进行综合分析。结果此组病例心律失常、心脏扩大和心力衰竭发生率分别为87％、52％、25％，甲亢性心脏病误诊率为16％，多发生于无高代谢综合征的老年患。结论及时诊断，规范合理用药治疗，避免感染是预防甲亢性心脏病的根本措施。甲亢性心脏病不伴高代谢综合征表现病例临床容易误诊；对原因不明的心律失常、心脏扩大和心力衰竭老年患，应注意甲状腺功能检查。

The clinical analysis in 58 cases of hyperthyroid heart disease

Objective To analyze clinical feature of hyperthyroid heart disease and factors leading to misdiagnosis in it. To enhance measure of prevention and cure. Methods Clinical feature was comprehensively analyzed in 58 cases of hyperthyroid heart disease. Results Arrhythmia,heart enlargement and heart failure were 87%,52% and 25%, respectively in this group. Misdiagnosis of hyperthyroid heart disease was 16%,of which most occurred in aged patients without high-metabolism syndrome. Conclusion To diagnose in time, to criterion treatment in reason and to avoid infection are ultimately measure of prevention hyperthyroid heart disease. Misdiagnosis could occur in the cases of hyperthyroid heart disease without high-metabolism syndrome. Thyroid function examination should be taken rountingly in aged patients with Arrhythmia, heart enlargement or heart failure which causes were unknown.