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家族性充血扩张型心肌病较家族性肥厚型心肌病远为少见。现将我们所见到的一家族兄妹三人同患此病报道如下: 例一:男,26岁,农民。因劳累后心慌气短一年,加重十天而于1986年6月4日首次住院,入院查体:血压16/11kPa。面颊口唇紫绀,颈静脉怒张,心界扩大,心率130次/分,P_2>A_2。心律不整,心尖部闻及Ⅱ级收缩期杂音,肝肋下4cm质软,脾未及,腹水征(-)。心电图示Ⅰ°AVB,多发多源性室性早搏,右室大,Rv_1~v_5逐渐变低;酷似前壁心梗。血沉5mm/h,抗O”1:200,LDH1250u,GOT46u。胸片示心外形普大,心胸比率
Familial congestive dilated cardiomyopathy is far more rare than familial hypertrophic cardiomyopathy. Now we see a family of three brothers and sisters reported the same disease with the disease as follows: Example 1: male, 26 years old, farmer. Due to exertion palpitation shortness of breath for one year, aggravating ten days and in June 4, 1986 the first hospitalization, admission examination: blood pressure 16 / 11kPa. Cyanotic cheek lips, jugular vein engorgement, heart expansion, heart rate 130 beats / min, P_2> A_2. Arrhythmia, apex symphysis and Ⅱ systolic murmur, liver ribs 4cm soft, spleen and ascites (-). ECG Ⅰ ° AVB, multiple premature ventricular contractions, right ventricular large, Rv_1 ~ v_5 gradually lower; resembles anterior myocardial infarction. ESR 5mm / h, anti-O "1: 200, LDH1250u, GOT46u. Chest Xiongxing heart shape, heart rate