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目的:探讨老年甲状腺功能亢进性心脏病(甲亢性心脏病)的临床特点及治疗方法。方法:对26例确诊为甲亢性心脏病的老年病人进行综合治疗,分析老年甲亢性心脏病的发病特点及疗效。结果:老年甲亢性心脏病病程长,快速性心律失常、右心扩大、右心衰竭等心脏表现突出;甲状腺功能亢进症控制后,心律失常、心脏扩大、心衰等多可恢复,少数患者遗留持续房颤、心脏扩大等。结论:老年甲亢性心脏病缺乏临床特异性。及早发现,避免误诊、漏诊,早期治疗对患者有十分重要的意义。
Objective: To investigate the clinical features and treatment of elderly hyperthyroidism heart disease (Hyperthyroid heart disease). Methods: Twenty-six elderly patients diagnosed as hyperthyroidism heart disease were treated comprehensively, and the incidence and therapeutic effect of senile hyperthyroidism heart disease were analyzed. Results: Hyperthyroidism in elderly patients with long course of heart disease, tachyarrhythmia, right ventricular enlargement, right heart failure and other cardiac performance; thyroid hyperthyroidism control, arrhythmia, heart enlargement, heart failure and more can be restored, a small number of patients left Continued atrial fibrillation, heart enlargement and so on. Conclusion: Hyperthyroidism in elderly patients is not clinically specific. Early detection, to avoid misdiagnosis, missed diagnosis, early treatment of patients has very important significance.