老年与非老年初诊扩张型心肌病的诊断分析  

Diagnosis of Aged and non-Aged Inpatients Suspected Dilated Cardiomyopathy

作　　者：衣桂燕[1] 杨庭树[1] 

机构地区：[1]解放军总医院东楼四层心内科实验室,北京市100853

出　　处：《中国康复理论与实践》2007年第5期462-464,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨老年人与非老年人扩张型心肌病(DCM)诊断上的特征。方法回顾性分析本院2004年2月～2006年2月间初诊DCM的192例住院患者,分为老年组(≥60岁)和非老年组(<60岁),对最终诊断进行分析。结果老年组诊断为特发性扩张型心肌病(IDCM)的比例明显高于非老年组(P<0.01);老年组诊断缺血性心肌病(ICM)比例较非老年组高(P<0.05);非老年组诊断为酒精性心肌病(ACM)、病毒性心肌病(VCM)的比例明显高于老年组(P<0.01)。结论临床表现与IDCM相似的疾病较多,应注意鉴别诊断;老年人DCM的病因分布与非老年人有所不同。Objective To analyse the diagnosis characteristics of the aged and non-aged patients with dilated cardiomyopathy （DCM）. Methods 192 inpatients suspected DCM from 2004 to 2006 were analysed retrospectively, as the groups of the aged （≥60 y） and non-aged （〈60 y）. Results The percentage of the aged group with idiopathic dilated cardiomyopathy （IDCM） or ischemic cardiomyopathy （ICM） was obviously higher than that of the non-aged group （P〈0.01 and P〈0.05, respectively）. The percentage of the non-aged group with alcoholic cardiomyopathy （ACM） or viral cardiomyopathy （VCM） was higher than that of the aged group （P〈0. 01）. Conclusion There are various diseases similar to DCM should be identified. The causes leading to DCM are different in the aged and non-aged patients.

关 键 词：扩张型心肌病 老年 非老年 诊断 病毒性心肌病(VCM) 酒精性心肌病(ACM) 缺血性心肌病(ICM) 

分 类 号：R542.2[医药卫生—心血管疾病]