扩张型心肌病以右室大为主或以右心衰症状首先出现者报道较少,现将所遇2例报道如下,并复习有关文献,以供探讨。例1:女患,56岁,住院号29336。于10年前体检胸透时发现“心脏扩大”,但无任何症状。近2年劳累后反复发生下肢及颜面水肿、心悸、气短等症状,且逐渐加重。口服利尿药可减轻。否认高血压、风湿病,慢性支气管炎、肾脏病等病史。体检:血压 Dilated cardiomyopathy mainly to the right ventricle or right heart failure symptoms first reported less, now the case of 2 reported as follows, and review the literature for discussion. Example 1: female patient, 56 years old, hospital number 29336. 10 years ago when the chest examination found “heart enlargement”, but without any symptoms. Over the past two years after exertion, lower extremities and facial edema, palpitations, shortness of breath and other symptoms, and gradually increased. Oral diuretics can be reduced. Denied high blood pressure, rheumatism, chronic bronchitis, kidney disease and other medical history. Physical examination: blood pressure