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目的总结扩张型心肌病(DCM)患者的临床特点、鉴别诊断及治疗措施.方法临床分析66例符合WHO/ISFCDCM诊断标准患者的症状、体征、检查、治疗、误诊及转归。结果 DCM是除冠心病和高血压性心脏病以外导致心力衰竭的病因之一,提高对本病的早期诊断,减少误诊率,积极治疗,可降低死亡率。结论超声心电图在DCM的诊断和鉴别上具有重要价值。DCM的基本治疗以药物为主,主要包括抗心力衰竭、防治各种心律失常及循环栓塞等治疗。
Objective To summarize the clinical features, differential diagnosis and treatment of patients with dilated cardiomyopathy (DCM) .Methods The clinical data of 66 patients with WHO / ISFCDCM were retrospectively analyzed for their symptoms, signs, examination, treatment, misdiagnosis and prognosis. Results DCM is one of the causes of heart failure other than coronary heart disease and hypertensive heart disease. It can improve the early diagnosis of this disease, reduce the rate of misdiagnosis and active treatment, and reduce the mortality rate. Conclusion Echocardiography is of great value in the diagnosis and differential diagnosis of DCM. The basic treatment of DCM mainly drugs, including anti-heart failure, prevention and treatment of various arrhythmias and embolization and other treatment.