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近20年来,原发性扩张型心肌病有明显增多趋向.对本病已有许多报道,但对老年患者报道尚少.我们于1979～1990年,按WHO/ISFC标准,结合排除诊断法确诊本病176例.由于临床表现复杂,缺乏特异性诊断手段,误诊及死亡率高,为此作一回顾性分析.1 临床资料1,1 一般资料 176例中男91例,女85例,男女之比为1:0.93,年龄55～78岁,平均61.7岁,55～60岁115例,60岁以上61例.病程1个月～21年,平均68个月,病程小于1年37例,1～3年34例.4～10年72例,11～20年32例,20年以上1例.1.2 临床表现1.2.1 症状 气急165例,胸闷150例,水肿140例,食欲不振120例,上腹胀70例,个别病人诉咳嗽、头晕等.
Over the past 20 years, the primary dilated cardiomyopathy has a tendency to increase.There have been many reports of the disease, but few reports of elderly patients.We in 1979 ~ 1990, according to WHO / ISFC standards, combined with the diagnosis of exclusion 176 cases of this disease due to the complex clinical manifestations, the lack of specific diagnostic tools, misdiagnosis and high mortality, for which a retrospective analysis.1 Clinical data 1,1 General Information 176 cases of male 91 cases, 85 females, men and women The ratio was 1: 0.93, aged 55 to 78 years old, average 61.7 years old, 55 to 60 years in 115 cases, 61 cases over the age of 60. Course of 1 months to 21 years, an average of 68 months, duration of less than 1 year in 37 cases, 1 to 3 years in 34 cases. 4 to 10 years in 72 cases, 11 to 20 years in 32 cases, more than 20 years in 1 case .1.2 Clinical manifestations 1.2.1 Symptoms Acute and acute 165 cases, 150 cases of chest tightness, 140 cases of edema, loss of appetite in 120 cases , Abdominal distension 70 cases, individual patients v. Cough, dizziness and so on.