中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
20期
97-98
,共2页
原发性%心肌病%诊断%治疗
原髮性%心肌病%診斷%治療
원발성%심기병%진단%치료
Primary%Cardiomyopathy%Diagnosis%Treatment
目的：探析原发性心肌病临床诊断方法及治疗方案，旨在为今后早期诊断原发性心肌病并制定安全有效的治疗方案提供重要的参考和借鉴依据。方法结合患者临床症状、各项辅助检查综合诊断，并根据患者临床表现制定针对性的治疗方案。结果原发性心肌病以一般表现为扩张型心肌病与肥厚型心肌病，扩张型心肌病截至目前仍无有效的治疗方案，当发展至失代偿期出现心力衰竭时则给予对症支持治疗；肥厚型心肌病以迟缓心肌治疗为主，多应用钙通道阻滞剂、β-受体阻滞剂，均具有一定的治疗效果。结论临床症状结合各项辅助检查有助于早期诊断原发性心肌病，指导临床治疗，可促进临床治疗，改善预后。
目的：探析原髮性心肌病臨床診斷方法及治療方案，旨在為今後早期診斷原髮性心肌病併製定安全有效的治療方案提供重要的參攷和藉鑒依據。方法結閤患者臨床癥狀、各項輔助檢查綜閤診斷，併根據患者臨床錶現製定針對性的治療方案。結果原髮性心肌病以一般錶現為擴張型心肌病與肥厚型心肌病，擴張型心肌病截至目前仍無有效的治療方案，噹髮展至失代償期齣現心力衰竭時則給予對癥支持治療；肥厚型心肌病以遲緩心肌治療為主，多應用鈣通道阻滯劑、β-受體阻滯劑，均具有一定的治療效果。結論臨床癥狀結閤各項輔助檢查有助于早期診斷原髮性心肌病，指導臨床治療，可促進臨床治療，改善預後。
목적：탐석원발성심기병림상진단방법급치료방안，지재위금후조기진단원발성심기병병제정안전유효적치료방안제공중요적삼고화차감의거。방법결합환자림상증상、각항보조검사종합진단，병근거환자림상표현제정침대성적치료방안。결과원발성심기병이일반표현위확장형심기병여비후형심기병，확장형심기병절지목전잉무유효적치료방안，당발전지실대상기출현심력쇠갈시칙급여대증지지치료；비후형심기병이지완심기치료위주，다응용개통도조체제、β-수체조체제，균구유일정적치료효과。결론림상증상결합각항보조검사유조우조기진단원발성심기병，지도림상치료，가촉진림상치료，개선예후。
Objective To explore the clinical diagnosis and treatment of primary cardiomyopathy so as to offer reference for the future work. Methods Treatment plan was targetedly made based on the comprehensive consideration of the clinical symptoms, re-sults of auxiliary examinations and clinical manifestations. Results Primary cardiomyopathy can be commonly subdivided into two types: dilated cardiomyopathy and hypertrophic cardiomyopathy. For dilated cardiomyopathy, there was still no effective treatment scheme, and symptomatic supportive treatment can be given to those with decompensated heart failure;For hypertrophic cardiomy-opathy, calcium channel blocker andβ-blocker were used to attenuate the degree of myocardial hypertrophy with certain degree of effectiveness. Conclusion Comprehensive consideration of the clinical symptoms, results of auxiliary examinations is conducive to the early diagnosis and can promote the clinical treatment and improve prognosis.
