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我科1987～1990年在680例反复心衰病例中临床排除了其它病因心脏病及其它类型心肌病的23例扩张型心肌病作一分析,以探讨该病诊断治疗问题。诊断依据:主要条件是经体查,X线(心胸比率>0.55)和/或超声心动图检查发现心脏扩大,且多呈普大心。排除其他心脏病及继发性心脏病。次要条件是具有左、右或全心衰的临床表现。常有二种或二种以上心律失常并存,心肌损害,心室肥大,或异常Q波(非心肌梗塞所致),有动脉栓塞或晕厥发作史,常有病理性第三,四心音或奔马律,心功能不全时在心尖部或三尖瓣区有轻一中度返流性收缩期杂音,心功能改善后消失或减轻。
Our department from 1987 to 1990 in 680 cases of recurrent heart failure clinical exclusion of other causes of heart disease and other types of cardiomyopathy in 23 cases of dilated cardiomyopathy for an analysis to explore the diagnosis and treatment of the disease. Diagnosis is based on: The main condition is the body check, X-ray (cardiothoracic ratio> 0.55) and / or echocardiography found that the heart enlargement, and more general heart. Exclude other heart disease and secondary heart disease. The secondary condition is to have a clinical manifestation of left, right, or heart failure. Often two or more than two kinds of arrhythmia coexist, myocardial damage, ventricular hypertrophy, or abnormal Q wave (non-myocardial infarction caused by), a history of arterial embolism or syncope, often pathological third heart sound or running Law, cardiac insufficiency in the apex or tricuspid valve area with mild to moderate systolic murmur, cardiac function improved disappeared or reduced.