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围产期心肌病(PPCM)旧称产后心脏病,为扩张型心肌病的一个亚型。此病不同于原发性扩张型心肌病,二者有以下两点可资鉴别:①PPCM与妊娠密切相关,绝大多数患者于分娩后3个月内发病,少数患者于娠娠晚期发病;双胎孕妇比单胎孕妇多见;再次妊娠还可诱发心脏扩大及充血性心力衰竭。而原发性扩张型心肌病与妊娠无关。②有相当一部分PPCM患者的心脏大小可完全恢复正常,这在原发性扩张型心肌病是罕见的。
Perinatal cardiomyopathy (PPCM), formerly known as postpartum heart disease, is a subtype of dilated cardiomyopathy. The disease is different from primary dilated cardiomyopathy, the two have the following two points to identify: ①PPCM and pregnancy are closely related, the vast majority of patients with onset within 3 months after delivery, a small number of patients in the third trimester of pregnancy; double Pregnant women more common than singleton pregnant women; pregnancy may also induce heart enlargement and congestive heart failure. The primary dilated cardiomyopathy has nothing to do with pregnancy. ② a considerable number of PPCM patients with heart size can be fully restored to normal, which is rare in patients with primary dilated cardiomyopathy.