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心肌病通常系指以侵犯心肌为主的非风湿、非高血压、非动脉粥样硬化性疾患。原发性心肌病则指主要病变限于心肌、目前原因未明的一些疾病而言。这类疾患在我国和国外很多地区都比较常见,是心血管系统的常见多发病,是心脏病学中的一个新课题。目前其概念、分类在国外资料中还比较混乱。我们拟主要根据近年来收集的尸检材料,结合有关资料,就原发性心肌病的病理学分类、形态改变特点以及与临床类型间的关系作一初步讨论。
Cardiomyopathy usually refers to the non-rheumatic, non-hypertensive, non-atherosclerotic disorders that predominantly violate the myocardium. Primary cardiomyopathy refers to the main lesions limited to the myocardium, the current unexplained some diseases. Such diseases in our country and abroad are more common in many areas, is a common cardiovascular disease, is a new topic in cardiology. At present its concept, classification in foreign materials is still quite confusing. Based on the autopsy materials collected in recent years, we propose a preliminary discussion about the pathological classification of primary cardiomyopathy, the characteristics of morphological changes and the relationship with clinical types based on the relevant data.