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目的分析探讨甲状腺功能亢进性心脏病误诊的原因,以提高甲亢性心脏病的诊断率。方法回顾分析2004年1月至2010年10月在焦煤集团中央医院一分院心血管内科住院治疗的甲亢性心脏病患者38例临床资料,分析本病被误诊为其他疾病的种类及原因。结果曾被误诊为冠心病者27例,高血压心脏病3例,风湿性心脏病3例,病毒性心肌炎者2例,慢性肺源性心脏病2例,扩张性心肌病1例。结论甲亢性心脏病临床表现多样性,不典型性,无特异性,以及医师对本病的认识不足,应认真询问病史,仔细检查,结合甲状腺功能测定,提高对甲亢不典型临床表现的认识和对其他心血管疾病鉴别,可提高此病的诊断率。
Objective To analyze the causes of misdiagnosis of hyperthyroidism heart disease so as to improve the diagnosis rate of hyperthyroidism heart disease. Methods The clinical data of 38 patients with hyperthyroid heart disease hospitalized from January 2004 to October 2010 in Department of Cardiology of Coking Coal General Hospital were retrospectively analyzed. The types and causes of misdiagnosis of other diseases were analyzed. Results 27 cases had been misdiagnosed as coronary heart disease, hypertensive heart disease in 3 cases, rheumatic heart disease in 3 cases, viral myocarditis in 2 cases, 2 cases of chronic pulmonary heart disease, dilated cardiomyopathy in 1 case. Conclusions The clinical manifestations, atypia and nonspecificity of Hyperthyroid heart disease, as well as the lack of understanding of the disease, physicians should carefully ask history, careful examination, combined with thyroid function tests to improve awareness of atypical clinical manifestations of hyperthyroidism and The identification of other cardiovascular diseases, can improve the diagnosis of the disease.