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目的:探讨酒精性心肌病(ACM)的临床特点,以提高其急诊诊治水平。方法:对确诊为ACM的24例急诊病例资料进行回顾性分析。结果:全部病例都有长期大量饮酒史,均有不同程度心脏增大,83%伴心律失常,75%出现充血性心力衰竭。误诊2例,漏诊2例。结论:掌握ACM的临床特点,提高因乙醇中毒就诊患者是否存在ACM的急诊早期诊治水平。早期诊断、早期戒酒是防治ACM的关键。
Objective: To investigate the clinical features of alcoholic cardiomyopathy (ACM) in order to improve its emergency diagnosis and treatment. Methods: The data of 24 emergency cases diagnosed as ACM were retrospectively analyzed. RESULTS: All cases had a long history of heavy drinking, with varying degrees of cardiac enlargement, 83% with arrhythmias, and 75% with congestive heart failure. Misdiagnosis in 2 cases, missed diagnosis in 2 cases. Conclusion: To master the clinical features of ACM and improve the early diagnosis and treatment of ACM in patients with alcoholism. Early diagnosis, early alcohol abstinence is the key to prevention and treatment of ACM.