婴儿扩张型心肌病的转归及影响因素分析  

Outcome of Infantile Dilated Cardiomyopathy and Prognostic Factors

作　　者：范崇济[1] 张巧芳[1] 李秀英[1] 路雪英[1] 

机构地区：[1]天津市儿童医院心内科,300074

出　　处：《天津医药》1995年第1期10-12,共3页Tianjin Medical Journal

摘　　要：1985～1991年共收治婴儿扩张型心肌病167例,平均年龄5个月。入院时休克32例,心衰123例。因其它原因入院12例。随访36±19个月。痊愈89例,痊愈时间1～72个月,平均18个月。好转15例,心电图常首先恢复正常。迁延11例,死亡28例,失访24例。尸解12例均有心肌炎,其中8例伴有心内膜炎2例伴育心外膜炎,9例有不同程度的心内膜弹力纤维增生。休克患儿近期预后较差。同时出现左心房扩大及心电图左室肥厚对远期转归有明显不良影响。本病个体差异大,常需坚持治疗及随访3～12个月才能判断疾病的转归。From 1985 to 1991,167 cases with infantile dilated cardiomyopathy were admitted. Twenty-one cases died during first admission. There were 122 cases who were followed up for 36±19months:eighty-nine cases fully recovered, 15 cases improved, 11 cases deteriorated,and 7 cases died. Autopsy of 12 cases showed:all of them had myocarditis, 8 cases had endocarditis, 2 cases had pericarditis, 9 cases had endocardial fibroelastosis in various degrees. Cardiogemc shock was of short term and left atrial enlargement in echocardiography with left ventricular hypertrophy in ECG was of long term prognostic significance. Because of individual variance,the outcome prediction of a patient should not be made until the disease had already been treated and followed up for 3-12 months.

关 键 词：扩张型心肌病 心肌炎 心内膜 弹力纤维增生 转归 

分 类 号：R542.2[医药卫生—心血管疾病] R542.21[医药卫生—内科学]