138例甲状腺功能亢进性心脏病患者X线影像观察  

Observation on X-ray Diagnosis of Hyperthyroid Cardiopathy

作　　者：张华芳[1] 李亨祥[1] 许耀玲[1] 马爱华[1] 

机构地区：[1]山东省地方病防治研究所,山东济南250014

出　　处：《地方病通报》2005年第2期95-97,共3页Endemic Diseases Bulletin

基　　金：山东省医药卫生科技发展计划基金资助(2004年HZ086)

摘　　要：目的探讨甲状腺功能亢进性心脏病(简称甲心病)X线表现特点及意义,进一步提高诊断准确性,方法应用X线胸透与胸部摄片相结合的方法确诊了138例甲心病,观察其心脏形态及肺心血管的异常改变,分析与甲亢病程的关系,反映X线表现在发生时间及改变程度上的差异。结果显示甲心病心脏影增大87例,肺淤血及肺充血分别为45例和36例,合并肺纹理增多、增粗17例,上腔静脉增宽12例,右下肺动脉增宽及肺野透明度减低较少见。结论甲心病X线改变呈现多样性,并以心脏影增大为主要特征。Objective To observe X-ray feature of hyperthyroid cardiopathy in order to improve diagnostic accuracy. Methods One hundred and thirty-eight patients with hyperthyroid cardiopathy was chosen to observe sign of lungs, heart and blood vessels of X-ray film on chest. The relationship of hyperthyroid cardiopathy and course of diseases was analyzed. Results The heart of 87 patients enlarged among them. Pulmonary blood flow occurred in 45 patients. Lung hyperemia presented in 36 patients. The lung marking increased in 17 patients. Superior vena cava widened in 12 patients. Conclusions The change of X-ray film was diversify in patients with hyperthyroid cardiopathy. But the change of heart size was main feature of X-rays film of them.

关 键 词：甲状腺功能亢进性心脏病(甲心病) X线诊断 

分 类 号：R541.85[医药卫生—心血管疾病] R814[医药卫生—内科学]