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扩张型心肌病(dilated cardiomyopathy,DCM)常以隐匿起病,以心悸、气促、不能平卧、或伴浮肿心力衰竭(心衰)表现就诊。其病理变化为心肌细胞肥大、变性、坏死、纤维化。心肌细胞作为收缩单元,已不能起到正常作用。用洋地黄类强心甙治疗,常不能获得满意效果。作者应用肾上腺素受体激动药,如多巴胺、多巴酚丁胺和血管扩张剂等方法治疗,取得较好成绩。部分病例随访2～7年的,病情稳定。特予以报道如下。1 临床资料1.1 病例选择1.1.1 10例病人均符合 WHO/ISF 扩张型心肌病诊断标准。1.1.2 10例 DCM 病人,均为初次发病这住院病人。男性9例,女性1例。年龄最小36岁,
Dilated cardiomyopathy (dilated cardiomyopathy, DCM) often hiding onset, palpitations, shortness of breath, can not lie down, or with edema of heart failure (heart failure) performance treatment. The pathological changes of myocardial cells hypertrophy, degeneration, necrosis, fibrosis. Cardiomyocytes, as contractile units, can no longer function normally. With digitalis glycosides treatment, often can not get satisfactory results. The authors used adrenergic receptor agonists, such as dopamine, dobutamine and vasodilator and other methods of treatment, and achieved good results. Some cases were followed up for 2 to 7 years, his condition was stable. Special report to be as follows. 1 Clinical data 1.1 Case Selection 1.1.1 10 patients were in line with WHO / ISF diagnostic criteria for dilated cardiomyopathy. 1.1.2 10 cases of DCM patients, are the first incidence of this inpatient. 9 males and 1 females. The youngest 36 years old,