Objective To sum up the clinical feature of diagnosis and treatment on patients with hyper-thyroid heart disease .Methods The clirrical data of 72 cases with hyperthyroid heart disease were analyzed retrospectively. Results The patients with hyperthyroid heart disease were 213% of all patients with hyperthyrnid who were received into hospital in same time.87.5% patients with hyperthyroid heart disease presented arrhythmia,and heart enlargement, heart failure,angina were 41.7%,13.9% and 2.8% respectively.The misdiagnosis rate were 16.7%.After the treatment of symptomatic treatment and anti-hyperthyreosis treabnent,64 cases with hyperthyroid heart disease were cured,6 cases were unproved and 2 patients died.Conclusions When the patients were young and the course were in the earlier stage,patients who were with hyperthyroid heart disease can be completely curedjut the prognosis were poor if the patients were old and the the course of disease was in the late stage. Without misdiagnosis,earlier and reasonable treatments are critical of hyperthyroid heart disease.%目的 总结和分析甲状腺功能亢进性心脏病的临床诊治特点.方法 回顾性分析72例甲状腺功能亢进性心脏病的临床资料.结果 甲状腺功能亢进性心脏病占同期住院甲状腺功能亢进患者的21.3%,主要表现为心律失常,其占全部甲状腺功能亢进性心脏病的87.5%,其次为心脏增大、心力衰竭和心绞痛分别为41.7%、13.9%和2.8%.甲亢性心脏病的误诊率为16.7%.经抗甲亢和对症治疗后,甲亢性心脏病治愈64例.临床好转6例,死亡2例.结论 年轻和早期甲亢性心脏病的患者,经适当治疗后可完全治愈.年老及病程长者预后不良.早期诊断、避免误诊、合理治疗是甲亢性心脏病治愈的关键.
展开▼
