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症状性心力衰竭患者左室收缩功能尚好的重要性近年来才得到重视。本文探讨它的出现率,寻找可能有助于床旁诊断的临床特征。对象为82(男50、女32)例失代偿的心衰患者。根据超声心动图检查,分为二组。A组59例左室收缩功能受损(缩短分数<24%)。B组23例左室收缩功能尚好(缩短分数≥24%)。A组同B组相比:男性较多(40/59对10/23,P<0.05),肥胖者较少(19/59对16/23,P<0.01);年龄、症状存在时间、高血压史、冠心病史、吸烟者、酗酒者和肾脏病者均无显著差异。
Symptomatic heart failure in patients with left ventricular systolic function is still important importance in recent years attention. This article explores its frequency of occurrence and looks for clinical features that may contribute to bedside diagnosis. The subjects were 82 (male 50, female 32) patients with decompensated heart failure. According to echocardiography, divided into two groups. A group of 59 patients with impaired left ventricular systolic function (shortened fraction <24%). B group 23 cases of left ventricular systolic function is still good (shortened score ≥ 24%). There were more males (40/59 vs. 10/23, P <0.05) and fewer obese (19/59 vs 16/23, P <0.01) in group A compared with group B; age, duration of symptoms, high History of blood pressure, history of coronary heart disease, smokers, alcoholics and kidney disease were no significant differences.