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甲状腺机能亢进并发心脏病(甲亢心脏病)者仍非少见,若能及时诊断与正确治疗预后良好,且即使在基层医院也常能控制。但甲亢心脏病易被忽略,在文献及我们实践中都有被误诊为冠心病、风湿性心脏病、心肌炎、先天性心脏病、亚急性细菌性心内膜炎及三尖瓣关闭不全等,甚至有被误作手术者。为减少误诊或漏诊率,故将本院5年8个月中的病例作一总结,并结合文献对甲亢心脏病的发病机理、诊断和治疗进行讨论。
Hyperthyroidism complicated by heart disease (hyperthyroidism heart disease) are still rare, if timely diagnosis and correct treatment of good prognosis, and even in the grassroots hospitals are often able to control. However, hyperthyroid heart disease is easily overlooked in the literature and in our practice have been misdiagnosed as coronary heart disease, rheumatic heart disease, myocarditis, congenital heart disease, subacute bacterial endocarditis and tricuspid regurgitation, etc., There are even those who have been mistaken for surgery. To reduce the rate of misdiagnosis or misdiagnosis, we summarize the cases in our hospital for 5 years and 8 months and discuss the pathogenesis, diagnosis and treatment of hyperthyroidism heart disease based on the literature.