本文报道了242例原发性充血型心肌病的症状、体征和心电图等检查的所见。结合24例尸检结果对本病的临床特点、诊断及鉴别诊断做了讨论。作者提出洋地黄使用原则,并对血管扩张剂、β-阻滞剂、肾上腺皮质激素及起搏器等疗效进行了评价。 This article reports 242 patients with primary congestive cardiomyopathy symptoms, signs and ECG findings. Combined with 24 cases of autopsy results of the clinical features of the disease, diagnosis and differential diagnosis are discussed. The authors propose the use of digitalis principles, and vasodilators, β-blockers, adrenal cortex hormones and pacemakers and other effects were evaluated.