^(131)I治疗甲亢性心脏病105例分析  

The clinical analysis of 105 patients with thyrotoxic cardiopathy treated with radioiodine

作　　者：张涛[1] 游金辉[1] 孙跃军[1] 孙秀华[1] 黄绍林 张毛荣 

机构地区：[1]川北医学院附属医院,四川南充637000 [2]南部县伏虎镇卫生院,四川南部637315

出　　处：《四川医学》2004年第9期997-998,共2页Sichuan Medical Journal

摘　　要：目的　探讨甲亢性心脏病的临床特征、发病相关因素及其治疗方案。方法　对 10 5例甲亢性心脏病患者的临床资料进行回顾性分析。结果　①甲亢性心脏病患者以中老年女性为主 ,心律失常以心房纤颤常见 ;②甲状腺结节性肿大的甲亢患者伴发甲亢性心脏病的几率高于弥漫性肿大的患者 ;③经13 1I抗甲亢治疗以后 ,随着甲亢的治愈大多数甲亢性心脏病可以治愈。结论　甲亢性心脏病患者的临床特征以心房纤颤、心力衰竭为主 ,其发病与甲状腺肿大类型有一定的关系 ,而13 1I治疗对甲亢性心脏病的治疗效果非常理想。Objective The aim of this article is to analyze the clinical character,the cause and the treatment project of the thyrotoxic cardiopathy.Methods The clinical materials of 105 patients with thyrotoxic cardiopathy were analyzed retrospectively.Results The thyrotoxic cardiopathy is mainly come forth in aged female,aprial fibrillation is the familiar type of arrhythmia;The probability of the thyrotoxic cariopathy with diffuse goiter is higher than that with nodulated goiter;Most of thyrotoxic cardiopathy can be cured after the cure of the hyperthyroid treated with radioiodine.Conclusion The clinical character of the thyrotoxic cardiopathy is mainly atria quiver and heart failure,its incidence is related to the type of the goiter,and the perfect effect will be achieved when the thyrotoxic cardiopathy is treated with radioiodine.

关 键 词：甲状腺机能亢进症 甲亢性心脏病 治疗 碘放射性同位素 

分 类 号：R541.8[医药卫生—心血管疾病]