小儿扩张型心肌病62例临床分析

Clinical analysis of 62 cases of children with dilated cardiomyopathy

回顾性分析1998年1月至2008年12月间我院住院的62例扩张型心肌病（DCM）患儿的临床资料。结果显示，该病以年长儿居多，呼吸系统感染可能是DCM发病的诱因或启动因素之一。心脏扩大是DCM诊断的基本条件。DCM病情危重，心力衰竭表现重；心律失常是DCM的重要特征，尤以窦性心动过速和异位搏动最常见。心脏彩色超声是诊断的重要方法，且可评价心肌病的严重程度，判断预后。62例DCM患儿经综合治疗好转出院38例（61％），死亡11例（18％）。提示医生应注重临床资料，提高对DCM的认识，强调早期诊断，综合治疗。

Clinical data of 62 children with dilated cardiomyopathy （DCM） admitted to hospital from January 1998 to December 2008 were retrospectively analyzed. The age of patients was from 14 months to 14 year with the average of 8.2 years. Respiratory infection was the main triggering factor. Cardiac dilatation was the basic conditions for diagnosis of DCM. Arrhythmia was characteristic for DCM, and color cardiouhrasonography was an important procedure of diagnosis and evaluation for eardiomyopathy. With the integrated treatment 38 cases were discharged with improvement （61%）, 11 cases died （ 18% ）. Early diagnosis and integrated treatment are critical for management of eardiomyopathy in children.