摘要
本文总结了60例甲亢性心脏病的临床表现与治疗,并与同期184例单纯甲亢进行了比较,其甲亢症状体征与实验室所见,两组间无明显差别。甲亢心的主要表现为房颤(58.3%),心脏大(33.3%)和心衰(15.0%),房颤平均年龄为55.3±2岁,心脏大与心衰及甲亢病程长有关,其他心脏异常尚有窒上性和室性心动过速、房室传导阻滞,二尖瓣脱垂和心肌炎与心包炎等。甲亢心的主要治疗是抗甲状腺治疗。
Sixty cases of patients with thyrotoxic heart disease (THD) were analyzed and compared with 184 patients who had hyperthyroid disease without cardiac involvement. There were no significant differences in the signs, symptoms, and laboratory findings between the two groups. The most common abnormalities found in the THD group were auricular fibrillation (58.3%), cardiac enlargement (33.3%), and heart failure (15.0%). The mean age of patients with auricular fibrillation was 55.3 years. As the duration of the hyperthyroidism increased so did the incidence of cardiac manifestations such as heart failure and heart enlargement. Other abnormalities of THD were paroxysmal supraventricular and ventricular tachycardia, A-V block, mitral valve prolapse, myocardosis, and pericarditis. The cornerstone of the treatment of THD is antithyroid therapy.
出处
《北京医学》
CAS
北大核心
1989年第1期4-7,共4页
Beijing Medical Journal
