本文报告武汉地区心衰12495例次的病因构成比,对风心病、冠心病、肺心病、高心病、心肌病等5种主要病因与性别、年龄、诱因之间的关系以及影响转归的因素进行讨论。结果表明:心脏病住院患者病因构成比中,风心病明显下降,但仍居首位;冠心病上升,占第二位;高心病减少;心肌病并不少见。20岁以下心衰死亡者风心病占91.0％,肺心病预后仍较差,病死率最高,感染诱发心衰高达89.5％,因心衰恶化死亡者占43.3％。 This article reports the incidence of heart failure in 12495 cases of Wuhan, the proportion of heart disease, coronary heart disease, cor pulmonale, heart disease, cardiomyopathy and other five kinds of the main causes of gender, age, incentives and the relationship between the factors that affect outcome have a discussion. The results showed that the incidence of rheumatic heart disease was significantly decreased in patients with cardiac disease, but still ranked first in the etiology of coronary heart disease patients. The prevalence of coronary heart disease rose to the second place, and the incidence of high heart disease decreased. Cardiomyopathy was not uncommon. The patients with heart failure under 20 years of age were diagnosed as having rheumatic heart disease by 91.0%. The prognosis of pulmonary heart disease was still poor with the highest case fatality rate. The infection-induced heart failure was as high as 89.5% and the death due to worsening heart failure accounted for 43.3%.