| 多发性肌炎/皮肌炎患者心脏损害的分析和评价 |
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| 引用本文： | 胡绍先,何培根.多发性肌炎/皮肌炎患者心脏损害的分析和评价[J].华中科技大学学报(医学版),2001,30(3):235-236. |
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| 作者姓名： | 胡绍先 何培根 |
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| 作者单位： | 华中科技大学同济医学院附属同济医院风湿科, |
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| 摘 要： | 探讨多发性肌炎(PM)/皮肌炎(DM)患者心脏损害的表现及其意义。以临床资料、血清肌酶谱、胸片、心电图、超声心动图等指标为依据，对我院1992～1998年住院治疗的45例PM/DM患者进行分析和评价。23例伴发心脏损害(51.1％)，病变累及心包、心肌、心内膜和冠状动脉，临床表现多种多样，心脏损害者中3例因心力衰竭死亡。表明心脏损害为PM/DM最常见的合并症，也是本病常见的死亡原因之一，应引起临床医师的足够重视。
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| 关 键 词： | 多发性肌炎 皮肌炎 心脏损害 |
| 修稿时间： | 2000年10月12 |
Study on the Cardiac Damage in the Patients with Polymyositis/Dermatomyositis |
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| HU Shaoxian,HE Peigen.Study on the Cardiac Damage in the Patients with Polymyositis/Dermatomyositis[J].Journal of Huazhong University of Science and Technology(Health Sciences),2001,30(3):235-236. |
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| Authors: | HU Shaoxian HE Peigen |
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| Institution: | Hu Shaoxian,He Peigen Department of Rheumatology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030 |
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| Abstract: | To investigate the significance of cardiac damage in the patients with polymyositis (PM)/dermatomyositis (DM), 45 cases of PM/DM in our hospital from 1992 to 1998 were retrospectively analyzed in the aspects of the clinical data, muscle zymogram, X ray plain films, electrocardiograph, ultrasonic cardiogram. It was found that cardiac damage (51.1 %) occurred in 23 out of 45 cases of PM/DM. Pericardium, cardiac muscle, endocardium and coronary artery were involved. Clinical manifestations were various. Among the cases of cardiac damage, 3 died of heart failure. It was indicated that cardiac damage is the most common complication and also one of the common death causes of PM/DM. |
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| Keywords: | polymyositis dermatomyositis cardiac damage |
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