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1972～1988年收治甲亢患者100例,其中合并肌病者11例,占同期住院甲亢患者的11%,现分析讨论如下。资料分析一、各类型甲亢肌病的临床特点:1.甲亢性心肌病:其特点:①已确诊之甲亢患者;②具有心肌病的一般主诉,如胸闷、心慌、气短、心前区疼痛等;③顽固性右心衰竭及房颤;④一般对症及洋地黄强心治疗难以控制;⑤β受体阻断剂治疗有效;⑥除外其它性质的心肌病。本型4例,其中1例因心力衰竭而死亡,其它3例随甲亢控制心脏症征改善。2.甲亢性肢体肌病:其特点①具有甲亢的症征、化验、特殊检查结果;②
From 1972 to 1988, 100 cases of patients with hyperthyroidism were admitted, including 11 cases of myopathy, accounting for 11% of patients with hyperthyroidism in the same period. The analysis and discussion are as follows. Data Analysis First, the clinical features of various types of hyperthyroidism myopathy: 1. Hyperthyroidism cardiomyopathy: its features: ① confirmed hyperthyroidism patients; ② general complaints of cardiomyopathy, such as chest tightness, palpitation, shortness of breath, precordial pain ; ③ refractory right heart failure and atrial fibrillation; ④ general symptomatic and digitalis cardiac treatment is difficult to control; ⑤ β receptor blockers effective treatment; ⑥ except for other properties of cardiomyopathy. 4 cases of this type, of which 1 died of heart failure, the other 3 cases with hyperthyroidism control heart disease symptoms improved. 2. Hyperthyroidism limb myopathy: its characteristics ① signs of hyperthyroidism, laboratory tests, special inspection results; ②