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目的总结39例甲状腺功能减退性心脏病的临床特点、误诊情况及治疗原则。方法对39例甲状腺功能减退性心脏病患者临床资料、误诊疾病及转归回顾性分析。结果甲状腺功能减退性心脏病患者均有不同程度的甲减临床表现,同时又具有心血管系统的特殊改变;甲减性心脏病易误诊为冠心病,心肌病、心包炎等。结论甲减性心脏病预后良好,但对不典型病例易误诊,在进行心脏疾病检查的同时,应进行甲状腺功能检测,以早期诊断及治疗。
Objective To summarize the clinical features, misdiagnosis and treatment principles of 39 cases of hypothyroidism. Methods The clinical data, misdiagnosis diseases and outcome of 39 cases of hypothyroidism were retrospectively analyzed. Results Hypothyroidism patients had different degrees of hypothyroidism clinical manifestations, but also has a special cardiovascular system changes; hypothyroidism is often misdiagnosed as coronary heart disease, cardiomyopathy, pericarditis and so on. Conclusions Hypothyroidism has a good prognosis, but it is easy to misdiagnosis of atypical cases. In the process of heart disease examination, thyroid function tests should be performed to diagnose and treat early.