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原发性充血型心肌病常以心衰就诊,易与引起心脏扩大,心力衰竭的其他心脏病混淆。目前原发性充血型心肌病尚无特异诊断方法,基本上仍沿用除外诊断法,故鉴别诊断至关重要,如能严格掌握诊断标准,结合M型及二维超声心动图的典型表现,典型病例不难鉴别。本院1978年以来经严格筛选共诊断典型原发性充血型心肌病147例,入院时误诊38例,其中误诊为风湿性心脏瓣膜病8例,高血压心脏病4例,
Primary congestive cardiomyopathy often with heart failure treatment, easy to cause heart enlargement, heart failure and other heart diseases confused. At present, there is no specific diagnosis of primary congestive cardiomyopathy, basically still using the exception diagnosis, so the differential diagnosis is crucial, such as rigorous diagnostic criteria, combined with M and two-dimensional echocardiography typical performance, typical Case is not difficult to identify. Our hospital since 1978, a rigorous screening of a total of 147 cases of typical primary congestive cardiomyopathy, 38 cases of misdiagnosis on admission, of which 8 were misdiagnosed as rheumatic valvular heart disease, 4 cases of hypertensive heart disease,