| 摘要: |
| ［摘要］ 目的 探讨酒精性心肌病的临床特点，提高临床医师对该病的认识。方法 回顾性分析75例酒精性心肌病病人的临床资料，归纳、总结其临床表现、心电图、胸部X线和心脏二维超声检查的特点；比较戒酒与否病人预后的差异。结果 病人临床症状以心悸、气急和胸闷为主；心电图可表现为多种心律失常；胸部X线和心脏二维超声检查可较早发现心脏扩大和左室射血分数减低，心脏可普遍增大，但以左室增大较常见。戒酒后病人心脏缩小，左室射血分数增加，心功能改善。结论 酒精性心肌病病人临床表现缺乏特异性，胸部X线和心脏二维超声检查可帮助较早作出心肌病的诊断；戒酒可明显改善病情和预后。 |
| 关键词: 酒精性心肌病 临床特点 戒酒 预后 |
| DOI：10.3969/j.issn.1674-3806.2010.04.20 |
| 分类号:R 542.2 |
| 基金项目: |
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| Clinic character analysis on 75 alcoholic cardiomyopathy patients |
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SU Shun-ting,WU Hua-xiong,SU Shu-juan
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Department of Emergency,the Second People′s Hospital of Shenzhen,Guangdong 518029,China
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| Abstract: |
| ［Abstract］ Objective To advance physician′cognitive level on alcoholic cardiomyopathy(ACM) by nailed down clinic character of it. Methods Clinic data of 75 ACM patients were analyzecd. The clinic characters of symptom,electrocardiogram, chest X-ray and heart ultrasonographic test of ACM were summed up; Difference of outcome of patients were contrasted between controlled drinking group and non-controlled drinking group. Results Patients′main symptoms included palpitation, dyspnea, chest discomtort; ECG test result might be one of any arrhythmia; chest X-ray and heart ultrasonograohic test could detect heart enlarged and ejection, fraction of left ventricle reduced, the heart might be enlarged generally, but left ventricle hypertrophy was more familiar, after controlled drinking the enlarged heart reduced, ejection fiaction of left ventricle increased and heart function ameliorated. Conclusion Sympoms of ACM patient is lack of character, but X-ray and heart ultrasonograplic test could help to define diagnosis for ACM. Severity and outcome of ACM patient could be ameliorated if patient controlled drinking. |
| Key words: Alcoholic cardiomyopathy Clinic character Controlled drinking Outcome |
