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报道1例76岁T2DM合并甲状腺毒症性心脏病患者,因“心累气紧1月”入院,甲状腺毒症、高血糖及心力衰竭明显。予纠正心力衰竭、降糖及抗甲状腺功能亢进等治疗3 d突发腹痛,增强CT确诊为“急性肾梗死”。积极抗凝、扩血管等治疗有效。因急性肾梗死少见及临床表现无特异性易被漏诊或误诊,导致肾损伤。提高对急性肾梗死的认识及临床警觉性,及早干预糖尿病、甲状腺功能亢进及房颤等危险因素极其重要。
Report of a 76-year-old T2DM patients with thyroid heart disease, due to “heart tired tight January” admission, thyrotoxicosis, hyperglycemia and heart failure. To correct heart failure, hypoglycemic and anti-hyperthyroidism and other treatment of 3 d sudden abdominal pain, CT enhanced enhanced diagnosis of “acute renal infarction.” Active anticoagulation, vasodilation and other treatment effective. Because of acute renal failure and clinical manifestations of non-specific easily misdiagnosed or misdiagnosed, leading to kidney damage. To improve awareness of acute renal infarction and clinical alertness, early intervention in diabetes, hyperthyroidism and other risk factors such as atrial fibrillation is extremely important.