《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (05): 462-464.

• 临床研究 • 上一篇    下一篇

老年与非老年初诊扩张型心肌病的诊断分析

衣桂燕; 杨庭树   

  1. 解放军总医院东楼四层心内科实验室,北京市 100853
  • 收稿日期:2007-03-29 出版日期:2007-05-01 发布日期:2007-05-01

Diagnosis of Aged and non-Aged Inpatients Suspected Dilated Cardiomyopathy

YI Gui-yan, YANG Ting-shu   

  1. DepartmentOf Cardiology, General Hospital of PLA, Beijing 100853, China
  • Received:2007-03-29 Published:2007-05-01 Online:2007-05-01

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摘要： 目的探讨老年人与非老年人扩张型心肌病(DCM)诊断上的特征。方法回顾性分析本院2004年2月～2006年2月间初诊DCM的192例住院患者,分为老年组(≥60岁)和非老年组(<60岁),对最终诊断进行分析。结果老年组诊断为特发性扩张型心肌病(IDCM)的比例明显高于非老年组(P<0.01);老年组诊断缺血性心肌病(ICM)比例较非老年组高(P<0.05);非老年组诊断为酒精性心肌病(ACM)、病毒性心肌病(VCM)的比例明显高于老年组(P<0.01)。结论临床表现与IDCM相似的疾病较多,应注意鉴别诊断;老年人DCM的病因分布与非老年人有所不同。

关键词: 扩张型心肌病, 老年, 非老年, 诊断, 病毒性心肌病(VCM), 酒精性心肌病(ACM), 缺血性心肌病(ICM)

Abstract: Objective To analyse the diagnosis characteristics of the aged and non-aged patients with dilated cardiomyopathy (DCM).Methods 192 inpatients suspected DCM from 2004 to 2006 were analysed retrospectively, as the groups of the aged (≥60 y) and non-aged (<60 y). Results The percentage of the aged group with idiopathic dilated cardiomyopathy (IDCM) or ischemic cardiomyopathy (ICM) was obviously higher than that of the non-aged group (P<0.01 and P<0.05, respectively). The percentage of the non-aged group with alcoholic cardiomyopathy (ACM) or viral cardiomyopathy (VCM) was higher than that of the aged group(P<0.01). Conclusion There are various diseases similar to DCM should be identified. The causes leading to DCM are different in the aged and non-aged patients.

Key words: dilated cardiomyopathy, aged, non-aged, diagnosis, viral cardiomyopathy, alcoholic cardiomyopathy, ischemic cardiomyopathy