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原发性甲状腺功能减退(以下简称甲减)除有怕冷、乏力、粘液性水肿等一般表现外,尚可表现心血管系统、精神神经系统、消化系统、肌肉关节系统、内分泌系统等多系统异常,其中心脏表现常为首发症状。关于甲减的心脏表现,目前国内外有关资料多为小样本报道,大样本观察尚不多。本文报道了自1986～1996年收治的93例甲减患者,其心脏病变包括心脏扩大、心包积液、心动过缓、房颤、传导障碍及心电图ST—T改变和QRS波低电压,心脏病变发生率达66.7％。现将详细资料报道并作分析如下:
Primary hypothyroidism (hereinafter referred to as hypothyroidism) in addition to fear of cold, fatigue, myxedema and other general performance, but also the performance of the cardiovascular system, nervous system, digestive system, muscle and joint system, endocrine system and other systems Abnormalities, of which the performance of the heart is often the first symptom. Hypothyroidism on the performance of the heart, the current domestic and international data are mostly small sample reports, large sample observation is not yet. This article reports 93 patients with hypothyroidism who were treated from 1986 to 1996. Their cardiac pathologies include cardiac enlargement, pericardial effusion, bradycardia, atrial fibrillation, conduction disturbances and ECG ST-T changes and QRS wave low voltage, heart disease The incidence rate of 66.7%. Detailed information now reported and analyzed as follows: