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1983～1986年间我院确诊为心肌病的患儿12例,现就这些病例作一分析。诊断标准:①经体检、胸片、超声心动图检查有心脏增大;②有充血性心力衰竭表现;③心电图提示异位节律、传导阻滞、心肌损害或异常Q波;④有昏厥发作史;⑤有栓塞并发症;⑥排除其他心脏疾病及其他原因引起的继发性的心肌病。其中第1项与第6项为必备条件。发病情况:本文12例中,男9冽,女3例。占同期收治心脏疾病的10.52%。年龄最小16个月,最大13岁,其中6岁以下9例。扩张型7例,肥厚型2例,限制型3例。12例均无家族史。病史1年以上3例,6个月至1年4例,半月至3月4例。以阿-斯氏综合征为首发1例。症状与体征:多有心悸、气短、心前区不适、心衰及心律失常。其中5例为全心衰,心律失常7例。
From 1983 to 1986 in our hospital diagnosed with cardiomyopathy in 12 children, now an analysis of these cases. Diagnostic criteria: ① physical examination, chest radiography, echocardiography increased heart; ② congestive heart failure performance; ③ ECG ectopic rhythm, conduction block, myocardial damage or abnormal Q wave; ④ a history of fainting episodes ; ⑤ embolization complications; ⑥ exclude other heart disease and other causes of secondary cardiomyopathy. Items 1 and 6 of these are prerequisites. Incidence: This article 12 cases, 9 male males and 3 females. Accounting for 10.52% of heart disease over the same period. The youngest 16 months, maximum 13 years old, of which 9 cases under 6 years old. 7 cases were dilated, 2 cases were hypertrophic and 3 cases were restricted. All 12 patients had no family history. A history of more than 1 year in 3 cases, 6 months to 1 year 4 cases, half months to March 4 cases. A case of Aspergillus syndrome in 1 case. Symptoms and signs: more palpitations, shortness of breath, precordial discomfort, heart failure and arrhythmia. Five of them were totally heart failure and seven cases of arrhythmia.