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甲状腺机能亢进症(简称甲亢)的心脏病变较为常见,有时表现突出,掩盖了甲亢的其他症状而发生误诊。现将我院1961—1984年收治的70例甲亢性心脏病作一简要分析,并就其发病机理、诊断和治疗问题进行一些探讨。资料分析我院1961—1984年住院确诊的甲亢共309例,其中甲亢性心脏病70例,占22.65%。其发生率较国外报告为高。一、诊断标准:目前国内外尚未统一,本文为:1.根据症状、体征和实验室检查(包括甲状腺吸~(131)碘率、T_4、T_3和基础代谢率等测定)确诊为甲亢。2.有下列一项或一项以上心脏异常:(1)心脏增大:经x 线或超声心动图证实;(2)心力衰竭:有右心衰或全心衰表现;(3)心
Hyperthyroidism (referred to as hyperthyroidism) of the heart disease is more common, and sometimes prominent, to cover up the other symptoms of hyperthyroidism misdiagnosis. Now in our hospital from 1961 to 1984 admitted 70 cases of hyperthyroidism for a brief analysis of heart disease, and its pathogenesis, diagnosis and treatment of some of the issues. Data analysis of our hospital 1961-1984 diagnosed hyperthyroidism a total of 309 cases, of which 70 cases of hyperthyroidism heart disease, accounting for 22.65%. The incidence is higher than foreign reports. First, the diagnostic criteria: at home and abroad have not yet unified, this article: 1. According to the symptoms, signs and laboratory tests (including thyroid suction ~ (131) iodine, T_4, T_3 and basal metabolic rate determination) was diagnosed as hyperthyroidism. 2. One or more of the following cardiac abnormalities: (1) heart enlargement: confirmed by x-ray or echocardiography; (2) heart failure: a manifestation of right heart failure or total heart failure; (3) heart