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本文所介绍的是平时“健康”而因心肌隐性病变急死者7例.其中特发性心肌病4例,心肌淀粉样变性1例,心内膜弹力纤维增生症2例.这7例病人死后均在二天内作了尸体解剖,除外心肌梗死、冠心病、脑性急死等死因.部分病例做了毒物化学分析,除外中毒急死.追问临床病史并结合各脏器所见,除外过敏性休克致死.并注意到有无胶元性疾病、原虫病、感染灶等病变的存在.在排除其他常见的心肌病及其急死原因之后,才确定为隐性心肌病.其临床情况如表1:
This article describes the usual “healthy” and due to acute myocardial infarction in 7 cases, including 4 cases of idiopathic cardiomyopathy, 1 case of myocardial amyloidosis, 2 cases of endocardial fibroelastosis.These 7 patients After the death were made in two days of autopsy, except for myocardial infarction, coronary heart disease, cerebral acute death and other causes of death.Part of cases did toxic chemical analysis, except acute poisoning .Special clinical history combined with the organs see, except for allergic Shock and lethal, and pay attention to the presence or absence of gum disease, protozoosis, infection lesions and other lesions in the exclusion of other common cardiomyopathy and its causes of acute death, was identified as a recessive cardiomyopathy. 1: