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目的:探讨老年甲状腺机能亢进的临床特点。方法:对44例老年甲亢及82例青年甲亢患者的临床资料进行对比和分析。结果:多数老年甲亢患者缺乏甲状腺肿大、突眼、食欲亢进等典型甲亢表现,而往往以某一系统症状为突出表现,其中心房纤颤、心力衰竭、心脏扩大等心血管系统表现最多见,其次以纳差、消瘦等消化道症状多见,有些表现为淡漠型甲亢。结论:充分认识老年甲亢的特殊临床表现,对疑诊患者及时作有关检查有助于减少误诊,及早明确诊断,及时治疗。
Objective: To investigate the clinical features of senile hyperthyroidism. Methods: The clinical data of 44 elderly patients with hyperthyroidism and 82 cases of young hyperthyroidism were compared and analyzed. Results: Most elderly patients with hyperthyroidism lack thyroid enlargement, exophthalmos and hyperthyroidism and other typical hyperthyroidism performance, but often a system of symptoms as the outstanding performance, of which atrial fibrillation, heart failure, cardiac enlargement and other cardiovascular system performance of the most common , Followed by anorexia, weight loss and other gastrointestinal symptoms more common, some showed indifferent hyperthyroidism. Conclusion: To fully understand the special clinical manifestations of senile hyperthyroidism, the timely diagnosis of suspected patients help to reduce misdiagnosis, early diagnosis and timely treatment.