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目的:提高对老年淡漠型甲亢合并心房纤颤的认识和确诊率。方法:回顾性分析以心房纤颤为首发表现的老年淡漠型甲亢26例的误诊原因。结果:老年淡漠型甲亢合并心房纤颤患者临床表现不典型,以消瘦、淡漠、心悸多见,本组26例确诊后均给予常规抗甲状腺药物治疗2个月后症状有所控制,其中心房纤颤19例消失,7例好转。结论:对原因不明的心房纤颤老年患者,应注意进行甲状腺功能检查,确诊后抗甲状腺治疗是关键。
Objective: To improve the understanding and diagnosis rate of senile deaf hyperthyroidism with atrial fibrillation. Methods: A retrospective analysis of atrial fibrillation as the first manifestation of senile indolent hyperthyroidism 26 cases of misdiagnosis reasons. Results: The clinical manifestations of senile indolent hyperthyroidism complicated with atrial fibrillation were not typical, with emaciation, indifference and palpitations were more common. The 26 patients were given conventional antithyroid drugs after treatment for 2 months and the symptoms were controlled. The atrium 19 cases of fibrillation disappeared, 7 cases improved. Conclusion: For senile patients with unknown cause of atrial fibrillation, attention should be paid to the thyroid function test, the diagnosis of anti-thyroid treatment is the key.