充血性心肌病与缺血性心脏病鉴别有时困难,而充血性心肌病合并症,最常见者为栓塞症,循环系统其它合并症如心室颤动、房间隔缺损、二尖瓣狭窄、心包炎等亦见报导。而本例并发急性心肌梗塞仅 Isnar 报告一例(Am Heart J.99: 235,1980),此外尚未见报导。病例摘要男,44岁,于10年前体检发现心脏扩大,于3年前(1977年)因劳累后呼吸困难而隹院。经全面检查,包括胸片、心电图、超声心动图、心音图、心尖搏动图、颈动脉搏动图等诊断为原发性充血性心肌病。以后于门诊用洋地黄、利尿剂和血管 Congestive cardiomyopathy and ischemic heart disease sometimes difficult identification, and congestive cardiomyopathy complications, the most common embolism, circulatory complications such as ventricular fibrillation, atrial septal defect, mitral stenosis, pericarditis, etc. Also reported. In this case, only one Isnar report of acute myocardial infarction (Am Heart J.99: 235, 1980) has not been reported yet. Case Summary Male, 44, whose heart was enlarged at a physical examination 10 years ago, was hospitalized three years ago (1977) with difficulty breathing after exertion. After a comprehensive examination, including chest X-ray, electrocardiogram, echocardiography, phonocardiogram, apical beating chart, carotid pulsation diagram diagnosis of primary congestive cardiomyopathy. Later in the clinic with digitalis, diuretics and blood vessels