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福州军区9个医院收治原发性充血型心肌病40例,其中初诊符合者仅6例,34例均发生过误诊,误诊疾病有10种,现各举1例,以便汲取经验教训。原发性充血型心肌病诊断依据:(1)心脏呈普遍性或球型增大,心胸比在55%以上(需2米远摄胸片),而排除其它原因引起的心脏病;(2)充血性心力衰竭,而未发现其它原因引起的心脏病;(3)超声心动图示心腔扩大(按舒张期未成人左心室内径大于55毫米,右心室内径大于23毫米,左心房和左、
Fuzhou Military Region 9 hospitals admitted to 40 cases of primary congestive cardiomyopathy, including initial diagnosis of only 6 cases, 34 cases have been misdiagnosed, misdiagnosis of the disease there are 10, now each in 1 case, in order to learn from experience. Diagnosis of primary congestive cardiomyopathy is based on: (1) the heart is generally or globose, heart rate more than 55% (2 meters away from the chest radiograph), and exclude other causes of heart disease; (2 ) Congestive heart failure, and did not find other causes of heart disease; (3) echocardiography heart chamber expansion (diastolic left ventricular diameter greater than 55 mm, right ventricular diameter greater than 23 mm, left atrium and left ,