酒精性心肌病75例临床特点分析  

Clinic character analysis on 75 alcoholic cardiomyopathy patients

作　　者：苏顺庭[1] 吴华雄[1] 苏树娟[1] 

机构地区：[1]深圳市第二人民医院急诊科,广东518029

出　　处：《中国临床新医学》2010年第4期351-353,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

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。Objective To advance physician＇ cognitive level on alcoholic eardiomyopathy（ACM） by nailed down clinic character of it. Methods Clinic data of 75 ACM patients were analyzeed. The clinic characters of symptom, electrocardiogram, chest X-ray and heart uhrasonographie 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, ebest diseomtort;ECG test result might be one of any arrhythmia;chest X-ray and heart uhrasonograohic 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 en- larged heart reduced, ejection fiaetion of left ventricle increased and heart function ameliorated. Condusion 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.

关 键 词：酒精性心肌病 临床特点 戒酒 预后 

分 类 号：R542.2[医药卫生—心血管疾病]