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原发性心肌病是病因不明以心肌损害为主的心脏病,近年来发现此病并不少见,由于缺乏特异性诊断方法,目前国内仍靠排除其它心脏病患、结合临床特点进行诊断。现将我院心脏内科自1975～1980年临床资料较完整的59例原发性心肌病住院病人作回顾性分析,结合文献复习,探讨其诊断治疗特点,供临床工作参考。临床资料59例病人中男性32例,女性27例,年龄在13～65岁间。按通用Goodwin氏分型法分为充血(扩张)型和肥厚型,本组充血型48例,肥厚型11例。肥厚型又按其有无心前区喷射性杂音,超声心动图有无室间隔局限性增厚等分为梗阻性与非梗阻性。本组梗阻性者5例,非梗阻性者6例。
Primary cardiomyopathy is a heart disease whose main cause is myocardial damage. It is not uncommon to find this disease in recent years. Due to the lack of specific diagnosis, it is still diagnosed in China by excluding other heart diseases and combining with clinical features. A retrospective analysis of 59 cases of primary cardiomyopathy inpatients with complete clinical data from 1975 to 1980 in our Department of Cardiology was conducted. Combined with the literature review, the characteristics of diagnosis and treatment were discussed for clinical reference. Clinical data of 59 patients, 32 males and 27 females, aged 13 to 65 years old. General Goodwin’s classification is divided into hyperemia (dilatation) and hypertrophy, the group of 48 cases of hyperemia, hypertrophy in 11 cases. Hypertrophy by its presence and absence of precordial jet murmur, echocardiography with or without ventricular septal thickening and other limitations are divided into obstructive and non-obstructive. This group of obstructive 5 cases, 6 cases of non-obstructive.