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扩张型心肌病(DCM)为原发性心肌病中最为常见。本文45例DCM 患者系我院1985年3月～1992年7月住院病人。男28例,女17例,年龄20～68岁,平均48.1岁。病程5个月～6年,平均3.2年。心功能(NHAY 标准)Ⅱ级1例,Ⅲ级17例,Ⅳ级27例。诊断依据(1)X 线、UCG 证实心脏明显扩大;(2)ECG 有心脏扩大或心肌损害,并伴心律失常;(3)有心衰(左、右或全心)临床表明;(4)排除其他心脏病。结果与讨论:45例中X 线胸透或摄片心胸比例均>0.5(100%);UCG 心室增大100%,其中右室1例,左室6例,全心(大多以左室为主)38例;ECG异常100%,部分患者可有2种或2种以上异常,其
Dilated cardiomyopathy (DCM) is the most common form of primary cardiomyopathy. 45 cases of DCM patients in our hospital from March 1985 to July 1992 inpatients. 28 males and 17 females, aged 20 to 68 years, an average of 48.1 years old. Duration of 5 months to 6 years, an average of 3.2 years. Heart function (NHAY standard) grade Ⅱ in 1 case, grade Ⅲ in 17 cases, Ⅳ grade in 27 cases. The diagnosis was based on (1) X-ray and UCG confirmed significant enlargement of the heart; (2) ECG had enlarged heart or myocardial damage with arrhythmia; (3) clinical evidence of heart failure (left or right or whole heart); (4) Exclude other heart disease. Results and Discussion: In 45 cases, the ratio of X-ray or chest radiography was> 0.5 (100%). UCG ventricular enlargement was 100%, including 1 case of right ventricle, 6 cases of left ventricle, Main) 38 cases; ECG abnormalities 100%, some patients may have two or more than two abnormalities