Оценка тяжести сердечной недостаточности у больных токсическим зобом и ее значение в отдаленных результатах хирургического лечения

Аннотация

The studies conducted in 150 patients operated on for toxic goiter, before surgery and one year after thy-roidectomy. The severity of heart failure (HF) in patients with toxic goiter we studied in terms of six-minute walk test. Before surgery, 48 patients with thyrotoxicosis of average weight at 13, it regarded as HFI and 35 - both HFIIA. One year after the operation structure HF changed: in 5 patients it was not determined, in 21 cas-es was HFI and 22 patients - HFIIA. Among the 102 patients with severe hyperthyroidism, before surgery in 78 cases of HF was defined as HFIIA and 24 - HFIIB. After the operation, 19 cases were diagnosed HFI, 69 -HFIIA and 24 it has not changed. In assessing the long-term results as the tests used change indicators severity of heart failure and cardi-ac arrhythmias, and divided them by the developed gradation, a good, satisfactory, unsatisfactory and ineffec-tive treatment. Good and satisfactory results in patients with thyrotoxicosis of average weight obtained in 47 (98.0%) patients and in patients with severe thyrotoxicosis - in 45 (44.1%). It concluded that long-term results of surgical treatment of patients with toxic goiter are directly dependent on the severity of hyperthyroidism, heart failure and heart rhythm disorders