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以心脏扩大、充血性心力哀竭为主要表现的酒精性心肌病(ACMP),在临床上极易误诊为原发性扩张型心肌病(DCM)。本文报道3例误诊为DCM,经追问饮酒史及心内膜心肌活检(EMB)而证实的ACMP,并对误诊原因及ACMP诊断的有关问题酌加讨论。病例例1:男,36岁,农民。入院前不明原因出现心累气促,休息后可缓解,未治疗。4月前症状反复发作,下肢水肿,县医院诊断“扩张型心肌病”,对症治疗后缀解。10天前受凉后病情复发加重入院。无关节痛,高血压,心前区不适史。体
Cardiac enlargement, congestive heart failure as the main manifestation of alcoholic cardiomyopathy (ACMP), is extremely easy to misdiagnose clinically as primary dilated cardiomyopathy (DCM). This article reports 3 cases of ACMP misdiagnosed as DCM, confirmed by drinking history and endocardial biopsy (EMB), and discusses the causes of misdiagnosis and related problems of ACMP diagnosis. Case 1: Male, 36 years old, farmer. Pre-admission unidentified causes of heart and gas, rest can ease, untreated. 4 months ago, recurrent symptoms, lower extremity edema, the county hospital diagnosis of “dilated cardiomyopathy”, symptomatic treatment of suffix solution. Ten days ago, the patient recurred after admission to the hospital. No joint pain, hypertension, precordial discomfort history. body