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目的通过对老年甲亢性心肌病的误诊及治疗进行分析,为临床治疗提供依据。方法选择2014年5月-2016年5月住院治疗的老年甲亢性心肌病患者60例,对其临床资料进行统计分析。结果 60例患者误诊32例(53.3%),误诊为冠心病17例、高血压性心脏病7例、扩张型心肌病3例、病毒性心肌病3例、风湿性心脏病2例;治疗后显效21例、有效31例、无效8例,总有效率86.7%(52/60)。心功能显著改善30例,死亡2例(3.3%)。结论老年甲亢性心肌病缺乏临床特异性,易误诊,早诊断对误诊能够有效避免,综合治疗能够取得良好的临床疗效。
Objective To analyze the misdiagnosis and treatment of hyperthyroidism cardiomyopathy in elderly patients and provide the basis for clinical treatment. Methods Sixty elderly patients with hyperthyroidism and cardiomyopathy who were hospitalized from May 2014 to May 2016 were selected and their clinical data were analyzed statistically. Results Sixty patients (53.3%) were misdiagnosed, 17 were misdiagnosed as coronary heart disease, 7 were hypertensive heart disease, 3 were dilated cardiomyopathy, 3 were viral cardiomyopathy and 2 were rheumatic heart disease. After treatment 21 cases were markedly effective, 31 cases were effective and 8 cases were ineffective. The total effective rate was 86.7% (52/60). Heart function improved significantly in 30 cases, 2 patients died (3.3%). Conclusion The elderly patients with hyperthyroidism lack of clinical specificity, easy to misdiagnosis, early diagnosis of misdiagnosis can be effectively avoided, comprehensive treatment can achieve good clinical efficacy.