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目的 探讨酒精性心肌病 (ACM)的早期诊断、处理及预后。方法 将 4 2例酒精性心肌病患者分为亚临床期 (5例 )和临床期 (37例 ) ,并分析其临床表现和实验室检查结果。结果 经 2年的随访 ,该病患者心电图异常发生率较高 ,但特异性差 ;胸部X线敏感性和特异性均不佳 ;左心室肥厚、斑点状回声增强及早期舒张功能受损是酒精性心肌病患者较为特异的心脏超声改变 ;戒酒后大多数患者症状得到控制 ,且亚临床期患者预后明显好于临床期患者。结论 酒精性心肌病的预后关键在于早期诊断和彻底戒酒
Objective To investigate the early diagnosis, treatment and prognosis of alcoholic cardiomyopathy (ACM). Methods Forty two patients with alcoholic cardiomyopathy were divided into subclinical (5 cases) and clinical (37 cases), and their clinical manifestations and laboratory tests were analyzed. Results After 2 years of follow-up, the incidence of ECG abnormalities was high but the specificity was poor. The sensitivity and specificity of chest X-ray were poor. The left ventricular hypertrophy, echogenic enhancement and early diastolic dysfunction were alcoholic Patients with cardiomyopathy more specific changes in cardiac ultrasound; most patients after taking alcohol to control the symptoms, and subclinical prognosis was significantly better than the clinical stage patients. Conclusion The key to the prognosis of alcoholic cardiomyopathy is early diagnosis and abstinence