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目的探讨老年甲状腺功能亢进临床表现特点。方法回顾分析我院36例老年甲亢患者的临床资料。结果食欲亢进5例,厌食16例,消瘦:28例,淡漠:16例,多汗怕热:21例,失眠:11例,腹泻:10例,乏力:28例,手抖:6例,胸闷、心悸26例,心律失常:23例,窦性心动过速10例,房颤7例,室早1例,房早3例,房室传导阻滞2例,心脏扩大5例,心衰:3例,贫血:5例,突眼:1例;胸水、腹水2例,心包积液:1例,甲状腺肿大10例,甲状腺结节3例,低蛋白血症:3例。上述患者经明确诊断后给予口服抗甲状腺药物治疗,病情缓解。结论老年甲亢临床表现不典型,常以某一系统的表现为突出,临床医生应给予重视,提高临床诊断率。
Objective To investigate the clinical features of senile hyperthyroidism. Methods The clinical data of 36 elderly hyperthyroidism patients in our hospital were retrospectively analyzed. Results Appetite hypersensitivity in 5 cases, anorexia in 16 cases, weight loss: 28 cases, indifference: 16 cases, hyperhidrosis afraid of fever: 21 cases, insomnia: 11 cases, diarrhea: 10 cases, fatigue: 28 cases, tremor: 6 cases, chest tightness , Heart palpitations in 26 cases, arrhythmia in 23 cases, sinus tachycardia in 10 cases, atrial fibrillation in 7 cases, as early as 1 case, as early as 3 cases, atrioventricular block in 2 cases, heart enlargement in 5 cases, heart failure: 3 cases, anemia: 5 cases, exophthalmos: 1 case; pleural effusion, ascites in 2 cases, pericardial effusion: 1 case, thyroid enlargement in 10 cases, thyroid nodules in 3 cases, hypoproteinemia: 3 cases. The above-mentioned patients were given oral anti-thyroid drugs after a definite diagnosis, the disease was relieved. Conclusion The clinical manifestations of elderly hyperthyroidism are not typical, often with a system of outstanding performance, clinicians should pay attention to improve the clinical diagnosis rate.