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我院1975年8月～1982年12月,以排除诊断法,诊断扩张型心肌病174例,现就其病因、诊断和治疗加以分析.174例均来自非克山病流行区,男77例,女97例,女性多与围产期心肌病有关。农民128例,工人30例,干部7例,学生4例,战士1例,4例未记载职业.发病年龄小于20岁者7例,20～39岁74例,40～59岁64例,60岁以上29例。临床表现心慌、气短169例,胸闷49例,心前区疼痛22例(呈持续性闷痛或针刺样痛,其中6例为典型心绞痛),头晕33例,晕厥3例,咳嗽88例,咯痰76例,咯血10例,乏力52例,腹痛8例,腹胀16例,浮肿113例。
Our hospital from August 1975 to December 1982, to rule out the diagnosis of 174 cases of dilated cardiomyopathy diagnosed, now its cause, diagnosis and treatment were analyzed.All 174 cases were from non-Ketshan disease endemic areas, 77 cases of male , 97 were female, more women and perinatal cardiomyopathy. There were 128 peasants, 30 workers, 7 cadres, 4 students, 1 soldier and 4 unrecorded occupations.Among these patients, 7 were less than 20 years old, 74 were from 20 to 39, 64 were from 40 to 59 29 years old or older. Clinical manifestations of palpitation, shortness of breath in 169 cases, 49 cases of chest tightness, anterior chamber pain in 22 cases (persistent pain or acupuncture pain, of which 6 cases of typical angina), 33 cases of dizziness, syncope in 3 cases, 88 cases of cough, Phlegm in 76 cases, hemoptysis in 10 cases, 52 cases of fatigue, abdominal pain in 8 cases, abdominal distension in 16 cases, 113 cases of edema.