论文部分内容阅读
目的:探讨老年甲亢性心脏病误诊为心血管病的原因,以降低误诊率。方法:将我院接收的200例老年甲亢性心脏病误诊为心血管病的患者作为研究对象,对其临床资料进行回顾性分析。结果:老年甲亢性心脏病误诊为心血管病的疾病类型主要包括冠心病、扩张性心肌病、肺心病、高血压心脏病、风心病、心力衰竭、心肌炎、自主神经功能紊乱以及病窦等;误诊原因为患者因心脏症状而就诊,缺乏对房颤为主的心律失常的正确认识;患者有器质性心脏病。结论:老年甲亢性心脏病误诊为心血管病较为常见,因而对患者应行全面、系统的问诊与查体,对其病情正确分析,联合甲状腺激素水平与促甲状腺激素水平检测,以避免误诊。
Objective: To investigate the causes of misdiagnosis of elderly hyperthyroidism as cardiovascular diseases to reduce the misdiagnosis rate. Methods: 200 cases of elderly patients with hyperthyroidism heart disease misdiagnosed as cardiovascular disease in our hospital as a research object, the clinical data were retrospectively analyzed. Results: The types of diseases misdiagnosed as cardiovascular diseases in elderly patients with hyperthyroidism included coronary heart disease, dilated cardiomyopathy, pulmonary heart disease, hypertensive heart disease, rheumatic heart disease, heart failure, myocarditis, autonomic nervous dysfunction and sick sinus. The cause of misdiagnosis was that patients were diagnosed with heart symptoms and lacked a correct understanding of atrial fibrillation-based arrhythmias. Patients had organic heart disease. Conclusion: The elderly with hyperthyroidism is misdiagnosed as cardiovascular disease is more common, so patients should be comprehensive and systematic interrogation and physical examination, the correct analysis of their condition, combined with thyroid hormone levels and thyroid stimulating hormone levels to avoid misdiagnosis .