皮肌炎患者心脏损害185例临床分析  

Clinical Analysis for 185 Cases of Dermatomyositis with Cardiac Involvement

作　　者：阎乎玲[1] 贾静[1] 刘芯[1] 

机构地区：[1]西安交通大学医学院第二附属医院皮肤科,陕西西安710004

出　　处：《中国皮肤性病学杂志》2006年第9期542-543,共2页The Chinese Journal of Dermatovenereology

摘　　要：目的探讨皮肌炎心脏损害发生的临床特点。方法收集185例皮肌炎的临床资料,进行回顾性分析。结果185例患者中89例出现心脏损害(48.12%)。其中心电图改变51例(57.30%),超声心动检查异常34例(38.20%)。主要表现为窦性心动过速、心脏扩大、房室传导阻滞及心包积液等。结论皮肌炎患者心脏损害是临床上较多见的合并症之一,表现复杂多样,应引起足够重视并积极给予治疗。Objective To explore triggered factors of cardiac involvement in dermatomyositis. Methods Clinical information of 185 cases of dermatomyositis was collected and retrospectively analyzed. Results 89 of 185 cases （48.12%） appeared cardiac involvement ,among of them ,51 cases （57.30%） companied with electrocardiography change and 34 cases （38.20%） abnormal ultrasonic cardiogram. The main appearance was atrial tachycardia; cardiomegaly;atrioventricular heart block and hydrocardia. Conclusion Cardiac involvement is one of most common complications and has diverse manifestations. It should be concerned and receive effective treatment.

关 键 词：皮肌炎 心脏损害 

分 类 号：R593.26[医药卫生—内科学]