扩张型心肌病引起充血性心力衰竭发生猝死  

Sudden death of congestive heart failure caused by dilatation cardiomyopathy

作　　者：曹志友[1] 周宝华[1] 欧阳瑾[1] 孙双艳 张文希[1] 

机构地区：[1]吉林军医学院门诊部,吉林吉林132013 [2]空军青岛疗养院,山东青岛266071

出　　处：《第四军医大学吉林军医学院学报》2001年第3期143-145,共3页

摘　　要：目的　探讨扩张型心肌病 (DCM )引起充血性心力衰竭 (CHF)与发生猝死的相互关系。方法　将DCM引起CHF共 116例患者按治疗措施改进前 (4 6例 )、后 (70例 )分组进行治疗。结果　改进后组 70例患者显效 67例、好转 2例、死亡 1例 ,总有效率为 98.7% ;改进前组 4 6例患者显效 31例、好转 9例、无效 6例 ,总有效率为 87.0 % ;随访 3年 ,改进后组死亡 2 3例 (32 .9% )、猝死 2例 (占 2 .9% ) ,改进前组死亡 2 1例 (占 4 5 .7% )、猝死 7例 (占 15 .2 0 % ) ,改进后组猝死率明显降低。结论　DCM引起CHF发生猝死治疗措施是综合性的 ,关键在于逆转心肌功能、改善心肌缺血。Objective To explore the relationship between CHF caused by DCM and sudden death.Methods According to the improved treatment and the traditional treatment, divided 116 cases(CHF caused by DCM)into two groups(the former 46 cases and the latter 70 cases)and treated them differently.Results 67 cases responded well in the former one,besides,2 cases became better,one death,and the total effective rate was 98.7 %;31 cases responded well in the latter group,9 better,6 ineffevtive,the total effective rate was 87...

关 键 词：扩张型心肌病 心力衰竭 猝死 

分 类 号：R542.2[医药卫生—心血管疾病]