垂体性肢端肥大症性心肌病四例诊治并文献复习
杨晨光;张慧平;季福绥
【期刊名称】《中华全科医师杂志》 【年(卷),期】2014(013)010
【摘要】回顾4例垂体性肢端肥大症性心肌病患者的临床资料,并结合文献进行分析.4例患者均为男性,年龄45 ～ 63岁,均患有垂体瘤,均发展至心功能不全(NYHA分级Ⅲ～Ⅳ级).4例中仅1例合并冠心病,但均出现心律失常.3例生长激素水平未得到有效控制;1例尽管生长激素水平已控制在正常范围,但仍然发展至终末期心力衰竭(心衰)阶段.垂体性肢端肥大症性心肌病发病隐匿,患者一旦进入心衰晚期,多预后不良,因而早期诊断和及时治疗至关重要.%Four cases of pituitary acromegalic cardiomyopathy were reported and relative literature was reviewed in this article.Four patients were all males aged 45-63 y.The patients were diagnosed as pituitary adenoma,then NYHA grade Ⅲ-Ⅳ heart failure developed.One patient had both acromegaly and coronary heart disease,and all patients had arrhythmia attacks.The growth hormone levels were not under control in 3 patients,and for the remaining patient with normalized growth hormone the end-stage heart failure also developed.The onset of pituitary acromegalic cardiomyopathy is hidden; when the disease progresses to advanced heart failure,the prognosis would be poor in most cases.So early diagnosis and timely treatment is of great importance in acromegalic cardiomyopathy.
【总页数】3页(839-841) 【关键词】肢端肥大症;心肌病 【作者】杨晨光;张慧平;季福绥
【作者单位】100730 卫生部北京医院心内科;100730 卫生部北京医院心内科;100730 卫生部北京医院心内科 【正文语种】中文 【中图分类】 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_chinese-journal-general-practitioners_thesis/0201254476743.html 【相关文献】
1.垂体瘤切除术后复发并肢端肥大症性心肌病1例 [J], 郑立文; 左明允; 王志; 文应峰
2.肢端肥大症性心肌病二例的临床诊治和文献回顾 [J], 余秋芳; 白融; 周强; 严江涛; 汪道文
3.肢端肥大症性心肌病误诊一例 [J], 封东来; 田浩明 4.肢端肥大症性心肌病1例 [J], 陈淑霞; 王立立; 郭艺芳 5.肢端肥大症性心肌病——附1例报告 [J], 卢博; 李中言
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垂体性肢端肥大症性心肌病四例诊治并文献复习
