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甲状腺机能亢进性心脏病(甲亢心病)是甲亢的常见并发症,约占住院甲亢病人的5%,我院统计占6.1%。甲亢心病的心脏异常以房颤最常见,约占75%。房颤的病因中,甲亢仅次于冠心病和风心病,占第三位(实用内科杂志1981;1:176)。如何提高其疗效,是值得重视的。临床上常遇到抗甲状腺药物(ATD)疗效不好又不宜手术的甲亢心病例,用碘~(131)治疗可能取得良好效果。现就此问题进行讨论。
Hyperthyroid heart disease (hyperthyroidism heart disease) is a common complication of hyperthyroidism, accounting for about 5% of hospitalized patients with hyperthyroidism, our hospital statistics accounted for 6.1%. Abnormal heart of hyperthyroidism to atrial fibrillation the most common, accounting for about 75%. Of the causes of atrial fibrillation, hyperthyroidism is second only to coronary heart disease and rheumatic heart disease, accounting for the third (Journal of Practical Internal Medicine 1981; 1: 176). How to improve its efficacy, it is worth attention. Clinically often encountered anti-thyroid drugs (ATD) is not good and not suitable for surgery in patients with hyperthyroid heart disease, iodine ~ (131) treatment may achieve good results. Now on this issue to be discussed.