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一、心肌病的命名和定义 由于心肌病的病因和发病机理不明,故其概念至今仍不十分明确。1837年Soberheim首先提出“未累及心外膜和心内膜的单纯心肌病变”。1891年krell用了“特发性心肌病”的名称。 1901年Josserand和Gallavardin使用过“原发性心疾病”术语。另外,在过去的文献中还用过“特发性心脏肥大”、“特发性心脏扩大症”、“隐发性心脏病”、“家族性心脏肥大症”和“原因不明的心脏退行性变”等。一些学者从不同的侧面描绘了所谓心肌病,在他们的概念中,显然包括了冠状动脉粥样硬化,体循环与肺循环高压和容量负荷过重以及心脏炎症等病变。1965年Mattingly认为,未累及心内膜及心外膜的单纯心肌病变这一概念的提出,
First, the names and definitions of cardiomyopathy As the etiology and pathogenesis of cardiomyopathy is unknown, so the concept is still not very clear. Soberheim first proposed in 1837 “does not affect the epicardial and endocardial pure cardiomyopathy.” 1891 krell used the name of “idiopathic cardiomyopathy”. 1901 Josserand and Gallavardin used the term “primary heart disease.” In addition, “idiopathic cardiac hypertrophy”, “idiopathic cardiomegaly”, “cryptogenic heart disease”, “familial cardiac hypertrophy” and “unexplained cardiac degenerative Change ”and so on. Some scholars portray the so-called cardiomyopathy from different perspectives, apparently including coronary atherosclerosis, systemic and pulmonary hypertension and volume overload, and cardiac inflammation in their concepts. Mattingly 1965 that does not affect the endocardial and epicardial cardiomyopathy the concept of this proposal,