论文部分内容阅读
本文就甲亢性心脏病的诊断与鉴别诊断作一简介如下:诊断:具有典型的甲亢临床征象伴发房颤、心脏增大、心脏杂音、冠状循环不全及心衰,能排除其他心脏病时,甲亢性心脏病的诊断则可成立。但临床常遇到一些不典型患者,以心脏症状为主要表现而甲亢的症状很不明显,如心源性水肿使甲亢的消瘦不易觉察,伴心衰时基础代谢率又不高等。此时应首先寻找甲亢的临床征象,进一步检查血浆蛋白结合碘(如超
This article on the diagnosis and differential diagnosis of hyperthyroid heart disease as follows: Diagnosis: A typical clinical manifestations of hyperthyroidism associated with atrial fibrillation, cardiac enlargement, heart murmur, coronary insufficiency and heart failure, can rule out other heart disease, Diagnosis of hyperthyroidism heart disease can be established. However, clinical often encountered some atypical patients with heart symptoms as the main manifestation of hyperthyroidism symptoms are not obvious, such as edema edema hyperthyroidism is not easy to detect weight loss, with heart failure basal metabolic rate is not high. At this point should first look for clinical signs of hyperthyroidism, further examination of plasma protein-bound iodine (such as super