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目的探讨甲状腺功能亢进性心脏病的误诊原因,提出减少误诊的措施。方法回顾性分析36例甲状腺功能亢进性心脏病误诊患者的临床资料。结果误诊为冠心病23例,高血压性心脏病5例,扩张性心肌病2例,心脏神经症3例,慢性胃炎2例,慢性肠炎1例。结论详细的问诊、系统的体格检查、正确分析病情并及时予以甲状腺功能检查,是避免甲状腺功能亢进性心脏病误诊或漏诊的关键措施。
Objective To investigate the causes of misdiagnosis of hyperthyroidism heart disease and to propose measures to reduce misdiagnosis. Methods The clinical data of 36 patients with misdiagnosis of hyperthyroidism heart disease were retrospectively analyzed. Results Misdiagnosed as coronary heart disease in 23 cases, 5 cases of hypertensive heart disease, dilated cardiomyopathy in 2 cases, 3 cases of cardiac neurosis, chronic gastritis in 2 cases, 1 case of chronic enteritis. Conclusion Detailed interrogation, physical examination, correct analysis of the disease and prompt thyroid function tests are the key measures to avoid misdiagnosis or missed diagnosis of hyperthyroid heart disease.