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β受体反应亢进症(简称β亢症)是一种因β受体反应亢进而表现为交感神经兴奋的一组临床综合征,颇为常见。易误诊为心肌炎、甲状腺机能亢进症、冠心病等。自1966年 Frohlich首次报告两例后,国内外陆续见于报道,并引起临床工作者的注意。本文报道我院近年来确诊为本症的20例,诊断标准如下:(1)有交感神经兴奋的症状,特别是循环系统症状,且易受神经因素影响;(2)心电图表现为Ⅱ、Ⅲ、avF 及部分兼有Ⅰ、Ⅴ_5导联 ST-T 改变;(3)心得安试验阳性,用心得安治疗有效;(4)删除心肌炎、甲状腺机能亢进症、冠心病等器质性疾病。
Beta-receptor hyperactivity disorder (beta-hyperthyroidism) is a group of clinical syndromes characterized by sympathetic excitation due to hyperactivation of beta-receptors and is quite common. Easily misdiagnosed as myocarditis, hyperthyroidism, coronary heart disease. Since Frohlich first reported two cases in 1966, it has been reported both at home and abroad and attracted the attention of clinicians. This article reports the hospital in recent years confirmed the diagnosis of this disease in 20 cases, the diagnostic criteria are as follows: (1) Sympathetic excitement symptoms, especially circulatory system symptoms, and susceptible to neurological factors; (2) ECG showed Ⅱ, Ⅲ , AvF and part of the lead Ⅰ, Ⅴ_5 lead ST-T changes; (3) propranolol test positive, with peace of mind treatment effective; (4) remove myocarditis, hyperthyroidism, coronary heart disease and other organic diseases.