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本文分析了60例原发性心肌病的临床资料,其中包括扩张型37例、肥厚型15例、未定型8例。对上述病例进行了平均4.5年的随访。11例患者(扩张型7例、肥厚型3例、未定型1例)死亡。肥厚型患者的血清心肌抗体阳性率相当高(5/6),扩张型心肌病阳性率亦达(3/7)。本组1/3肥厚型心肌病具有明显家族史。心肌病的病因可能与遗传、免疫、病毒感染等有关。从3例心肌病的演变过程看,不同类型的心肌病可能为同一疾病不同阶段的表现。
This article analyzes the clinical data of 60 cases of primary cardiomyopathy, including expansion in 37 cases, hypertrophy in 15 cases, 8 cases of undetermined. The above cases were followed up for an average of 4.5 years. Eleven patients (7 in dilatation, 3 in hypertrophic, 1 in unconfined) died. Hypertrophic patients serum antibody positive rate was very high (5/6), dilated cardiomyopathy positive rate (up to 3/7). This group of 1/3 hypertrophic cardiomyopathy has a clear family history. The etiology of cardiomyopathy may be related to heredity, immunity, viral infection and so on. From the evolution of 3 cases of cardiomyopathy, different types of cardiomyopathy may be different stages of the same disease performance.