论文部分内容阅读
目的调查扩张型心肌病(DCM)患者的临床资料,分析其发病特点和诊疗现状。方法对90例DCM患者的临床资料进行回顾性分析。结果男女比例:3.3∶1。心功能Ⅱ、Ⅲ、Ⅳ级构成比例为:15.1%、52.6%、32.3%。心律失常占86.7%,多样化。患者以左心扩大为主。利尿剂、血管紧张素转化酶抑制剂和β2受体阻滞剂使用率分别为:86.7%、88.9%、52.2%。59例获得随访,随访时间:(26.5±18.2)个月,随访中死亡19例,其中心力衰竭死亡9例,猝死8例。结论男性多见,心功能Ⅲ和Ⅳ级为主,伴心律失常及心腔扩大,2 a和5 a生存率较以往有改善,心力衰竭和猝死是主要死亡原因。
Objective To investigate the clinical data of patients with dilated cardiomyopathy (DCM) and analyze the incidence characteristics and diagnosis and treatment status. Methods The clinical data of 90 DCM patients were retrospectively analyzed. Results Male to female ratio: 3.3: 1. Heart function Ⅱ, Ⅲ, Ⅳ constitute the proportion of: 15.1%, 52.6%, 32.3%. Arrhythmia accounted for 86.7%, diversification. Patients to expand the main left heart. Diuretics, angiotensin converting enzyme inhibitors and β2 blockers use rates were: 86.7%, 88.9%, 52.2%. Fifty-nine patients were followed up for a median follow-up of (26.5 ± 18.2) months. Nineteen died during the follow-up, of whom 9 died of heart failure and 8 died of sudden death. Conclusions Men are more common, heart function Ⅲ and Ⅳ grade, with arrhythmia and cardiac enlargement, 2 a and 5 a survival rate than ever before, heart failure and sudden death are the main causes of death.