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肌营养不良症可累及心肌教科书早有记载,国外现代临床研究也不乏其例,但因肌营养不良症心肌受累并发充血性心力衰竭的具体实例国內尚少见报导。近年来我们遇到1例,现报告如下: 男性、30岁,住院号81897,于1989年6月22日因心悸、气短伴全身水肿一周入院。患者一周前因感冒出现轻咳、逐渐出现心悸、气短、不能平卧。少尿,24小时尿量不足180毫升。全身水肿以下肢为重。患者为足月顺产,生后如常。于学龄前(六岁时)出现双下肢对称性无力曾被诊断为小儿麻痹,行肠线穴位结扎治疗,无效,肢体无力逐渐加重致活动困难。自仰卧起立时出现典型的Gowers征。即先需转身俯卧,然后以
Muscular dystrophy can be involved in the textbooks of myocardium has long been documented, foreign modern clinical research is no lack of cases, but due to muscular dystrophy involved in congestive heart failure, the specific examples of domestic rarely reported. In recent years, we encountered a case, are reported as follows: Male, 30 years old, hospital number 81897, on June 22, 1989 due to heart palpitations, shortness of breath with systemic edema one week hospitalization. Patients with mild cough due to a cold a week ago, gradually palpitations, shortness of breath, can not lie down. Oliguria, urine output less than 180 ml in 24 hours. Edema in the body to the lower limbs. Patients with full-term follow-up, as usual after birth. In preschool age (at the age of six) appeared lower extremity symmetry weakness has been diagnosed as poliomyelitis, gut acupuncture treatment, invalid, limb weakness gradually aggravating activity. A typical Gowers sign appears from the supine position. That is, need to turn around prone, then to