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右室扩张性心肌病是原发性扩张型心肌病的少见亚型,近来已引起临床重视;现将我们所见一例报告如下: 患者女性,58岁,汉族,心脏病史8年。78年10月因头晕,活动后心慌,气急首次入院X线检查发现右室扩大。给以扩血管药,利尿剂治疗好转出院,82年病情加重到外地医院治疗,诊为“肺梗塞”心脏病性质未定。84年至85年因心慌,双下肢及面部浮肿,咯血、胸痛、头晕四次住我院治疗,病情稳定后转家庭病床。查体:发育正常,营养中等。轻度紫绀。血压100～136/60～85mmHg。颈静脉怒张,颈动脉无异常搏动,胸廓
Right ventricular dilated cardiomyopathy is a rare subtype of idiopathic dilated cardiomyopathy and has recently gained clinical attention; we report the following as an example: Female, 58 years old, Han, with a history of 8 years. 78 years in October due to dizziness, palpitation after the event, shortness of breath for the first time admitted to hospital X-ray examination found that the right ventricular enlargement. Give vasodilator drugs, diuretics improved treatment discharged, 82 years of exacerbation to the field hospital treatment, diagnosed as “pulmonary infarction” heart disease nature undecided. 84 to 85 years due to palpitation, lower extremities and facial swelling, hemoptysis, chest pain, dizziness, four times live in our hospital, stable condition after transfer to family beds. Physical examination: normal development, moderate nutrition. Mild cyanosis. Blood pressure 100 ~ 136/60 ~ 85mmHg. Jugular vein engorgement, carotid artery without abnormal beats, thorax