甲状腺功能亢进性心脏病误诊分析

摘要

Objective:To explore the causes of misdiagnosis of hyperthyroid heart disease,to reduce the rate of misdiagnosis. Methods:19 cases of misdiagnosis of hyperthyroid heart disease patients were selected.The clinical data were retrospectively analyzed.We observed the clinical manifestations and treatment effect.Results:In this group of 19 patients,11 cases were misdiagnosed as coronary heart disease;3 cases were misdiagnosed as hypertensive heart disease;dilated cardiomyopathy and rheumatic heart disease were all 2 cases;1 case was misdiagnosed as pulmonary heart disease.Conclusion:Hyperthyroidism heart disease was easy to be misdiagnosed.For patients with unexplained rapid arrhythmia,cardiac enlargement,heart failure,they should be given a thyroid function test,in order to improve the diagnosis of the disease,and reduce misdiagnosis.%目的：分析甲状腺功能亢进性心脏病的误诊原因，减少误诊率。方法：收治误诊的甲状腺功能亢进性心脏病患者19例，进行回顾性分析，观察其临床表现与治疗效果。结果：本组19例患者，误诊为冠心病11例，高血压性心脏病3例，扩张型心肌病、风湿性心脏病各2例，肺心病1例。结论：甲状腺功能亢进症性心脏病易误诊，对原因不明的快速性心律失常、心脏扩大、心力衰竭患者应行甲状腺功能检查，以提高本病的诊断率，减少误诊。