中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
14期
159-159,162
,共2页
甲状腺功能亢进%心脏病%误诊%分析
甲狀腺功能亢進%心髒病%誤診%分析
갑상선공능항진%심장병%오진%분석
Hyperthyroidism%Heart disease%Misdiagnosis%Analysis
目的：分析甲状腺功能亢进性心脏病的误诊原因，减少误诊率。方法：收治误诊的甲状腺功能亢进性心脏病患者19例，进行回顾性分析，观察其临床表现与治疗效果。结果：本组19例患者，误诊为冠心病11例，高血压性心脏病3例，扩张型心肌病、风湿性心脏病各2例，肺心病1例。结论：甲状腺功能亢进症性心脏病易误诊，对原因不明的快速性心律失常、心脏扩大、心力衰竭患者应行甲状腺功能检查，以提高本病的诊断率，减少误诊。
目的：分析甲狀腺功能亢進性心髒病的誤診原因，減少誤診率。方法：收治誤診的甲狀腺功能亢進性心髒病患者19例，進行迴顧性分析，觀察其臨床錶現與治療效果。結果：本組19例患者，誤診為冠心病11例，高血壓性心髒病3例，擴張型心肌病、風濕性心髒病各2例，肺心病1例。結論：甲狀腺功能亢進癥性心髒病易誤診，對原因不明的快速性心律失常、心髒擴大、心力衰竭患者應行甲狀腺功能檢查，以提高本病的診斷率，減少誤診。
목적：분석갑상선공능항진성심장병적오진원인，감소오진솔。방법：수치오진적갑상선공능항진성심장병환자19례，진행회고성분석，관찰기림상표현여치료효과。결과：본조19례환자，오진위관심병11례，고혈압성심장병3례，확장형심기병、풍습성심장병각2례，폐심병1례。결론：갑상선공능항진증성심장병역오진，대원인불명적쾌속성심률실상、심장확대、심력쇠갈환자응행갑상선공능검사，이제고본병적진단솔，감소오진。
Objective:To explore the causes of misdiagnosis of hyperthyroid heart disease,to reduce the rate of misdiagnosis. Methods:19 cases of misdiagnosis of hyperthyroid heart disease patients were selected.The clinical data were retrospectively analyzed.We observed the clinical manifestations and treatment effect.Results:In this group of 19 patients,11 cases were misdiagnosed as coronary heart disease;3 cases were misdiagnosed as hypertensive heart disease;dilated cardiomyopathy and rheumatic heart disease were all 2 cases;1 case was misdiagnosed as pulmonary heart disease.Conclusion:Hyperthyroidism heart disease was easy to be misdiagnosed.For patients with unexplained rapid arrhythmia,cardiac enlargement,heart failure,they should be given a thyroid function test,in order to improve the diagnosis of the disease,and reduce misdiagnosis.
