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1985～1991年共收治婴儿扩张型心肌病167例,平均年龄5个月。入院时休克32例,心衰123例。因其它原因入院12例。随访36±19个月。痊愈89例,痊愈时间1～72个月,平均18个月。好转15例,心电图常首先恢复正常。迁延11例,死亡28例,失访24例。尸解12例均有心肌炎,其中8例伴有心内膜炎2例伴育心外膜炎,9例有不同程度的心内膜弹力纤维增生。休克患儿近期预后较差。同时出现左心房扩大及心电图左室肥厚对远期转归有明显不良影响。本病个体差异大,常需坚持治疗及随访3～12个月才能判断疾病的转归。
From 1985 to 1991, a total of 167 infants with dilated cardiomyopathy were treated, with an average age of 5 months. 32 cases of shock on admission, 123 cases of heart failure. Admitted to hospital for other reasons in 12 cases. Followed up for 36 ± 19 months. 89 cases were cured, the recovery time of 1 to 72 months, an average of 18 months. 15 cases improved, ECG often first return to normal. Delay in 11 cases, 28 deaths, 24 cases were lost. Myocardial inflammation was found in 12 cases of autopsy, including 8 cases with endocarditis and 2 cases with epicarditis, and 9 cases with varying degrees of endocardial fibroelastosis. The recent prognosis of children with shock is poor. At the same time, the left atrial enlargement and ECG left ventricular hypertrophy have a significant adverse effect on the long-term outcome. Individual differences in the disease, often need to adhere to the treatment and follow-up of 3 to 12 months to determine the outcome of the disease.