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目的:探讨甲状腺功能亢进性心脏病的防治措施。方法:回顾性分析2003年6月至2009年6月收治的46例甲状腺功能抗进性心脏病患者的临床资料。其中男20例,女26例,年龄15-78岁,病程7月-30年;伴心功能衰竭28例(60.9%),心房纤颤30例(65.2%),和病态窦房结综合征1例(2.2%)。结果:46例患者均服用甲状腺药物治疗后,甲亢病情缓解,心力衰竭好转。30例心房纤颤患者中,19例恢复窦性心律,剩余11例平均心室率控制在70-100次/min。结论:甲亢性心脏病治疗的关键在于早期诊断,甲亢病情控制后,绝大部分心脏异常可减轻或消失。
Objective: To investigate the prevention and treatment of hyperthyroidism heart disease. Methods: The clinical data of 46 patients with congenital heart disease with congenital heart disease admitted from June 2003 to June 2009 were retrospectively analyzed. There were 20 males and 26 females, aged 15-78 years, with a duration of 7 months to 30 years. 28 cases (60.9%) with heart failure, 30 cases (65.2%) with atrial fibrillation, and sick sinus syndrome 1 case (2.2%). Results: After treatment of thyroid drugs in 46 patients, hyperthyroidism was relieved and heart failure improved. Of the 30 patients with atrial fibrillation, 19 returned to sinus rhythm and the remaining 11 had an average ventricular rate of 70 to 100 beats / min. Conclusion: The key to the treatment of hyperthyroid heart disease lies in the early diagnosis. After the control of hyperthyroidism, the vast majority of heart abnormalities can be reduced or disappeared.