甲亢性心脏病176例临床分析

目的旨在分析甲亢性心脏病临床特征，探讨容易发生误诊因素。方法对176例甲亢性心脏病患者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86．8％、52．2％和23．8％。甲亢性心脏病的误诊率为15．4％，多发生于无高代谢综合征的老年患者。结论甲亢性心脏病不伴高代谢综合征表现的病例临床容易误诊；对原因不明的心律失常、心脏扩大或心力衰竭的老年患者，应注意甲状腺功能检查。

Clinical analysis in 176 cases of hyperthyroid heart disease

Objective To analyze clinical feature of hyperthyroid heart disease, and factors leading to misdiagnosis in it. Method Clinical feature was comprehensively analyzed in 176 cases of hyperthyroid heart disease. Result Arrhythmia,heart enlargement and heart failure were 86.8%,52.2% and 23.8% respectively in this group. Misdiagnosis of hyperthyroid heart disease was 15.4%,of which most occurred in aged patients without highmetabolism syndrome. Conclusion 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 whose causes were unknown.