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目的探讨成年甲亢性心脏病被误诊的情况和原因,提出减少误诊的对策。方法回顾分析基层医院被误诊的成年甲亢性心脏病25例,分析本病被误诊的种类及原因。结果 25例患者分别被漏诊或误诊为冠心病、高血压性心脏病、肺心病、风湿性心瓣膜病等多种心血管病。结论甲亢性心脏病临床表现多样,应认真询问病史,详细检查,对不明原因的心律失常、心脏扩大或心衰应注意甲状腺功能的检查,以免误诊。
Objective To investigate the situation and causes of misdiagnosis of adult hyperthyroidism heart disease and to propose countermeasures to reduce misdiagnosis. Methods A retrospective analysis of 25 cases of misdiagnosed hyperthyroid heart disease in primary hospitals, analysis of the types and causes of misdiagnosis of the disease. Results 25 patients were missed or misdiagnosed as coronary heart disease, hypertensive heart disease, pulmonary heart disease, rheumatic heart disease and other cardiovascular disease. Conclusions Various clinical manifestations of hyperthyroidism heart disease should be carefully asked history, a detailed examination of unknown causes of arrhythmia, heart enlargement or heart failure should pay attention to thyroid function tests to avoid misdiagnosis.