论文部分内容阅读
目前虽然广泛应用放射免疫技术测定体内激素水平,对甲状腺机能减退症(简称甲减)的诊断正确率有所提高,但是以心脏异常为突出表现的病例,误诊的并不少见,以心包积液为主要临床表现者,常被误诊,本报告结合病例对甲减性心脏病的诊断有关问题提出探讨。例1 于某,女,57岁。因反复出现浮肿、胸闷、气短、伴有畏寒,乏力20余年,外院均诊断为“结核性心包炎”,并曾接受心包抽液及抗结核治疗,均无明显疗效。近2年出现听力减退及视力模糊,10余天来因胸闷、气促加重而收住院。体检:体温37℃,血压17.3/10.7kPa,脉搏56次/分。发育
Although the widely used radioimmunoassay in vivo hormone levels, the diagnosis of hypothyroidism (Hypothyroidism) the correct rate has increased, but the abnormal heart as the outstanding performance of the cases, misdiagnosis is not uncommon, pericardial effusion As the main clinical manifestations, often misdiagnosed, this report combined with cases of hypothyroidism in the diagnosis of heart disease related issues are discussed. Example 1 in a, female, 57 years old. Due to recurring edema, chest tightness, shortness of breath, with chills, fatigue more than 20 years, the hospital were diagnosed as “tuberculous pericarditis”, and had received pericardiotherapy and anti-TB treatment, no significant effect. Nearly 2 years of hearing loss and blurred vision, more than 10 days due to chest tightness, shortness of breath and admitted to hospital. Physical examination: body temperature 37 ℃, blood pressure 17.3 / 10.7kPa, pulse 56 beats / min. development