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扩张型心肌病(简称 DCM)是一种收缩不全、病因不明、预后不好的疾病。本病尚无根治方法。其治疗主要是针对心功能不全、心律失常、血栓栓塞症等。一、一般疗法、洋地黄与利尿剂DCM 心功能不全的治疗除了使用β阻滞剂外,与一般心功能不全的治疗毫无区别。首先是从纠正贫血、去除感染与肺栓塞等恶化因素,镇静、限制钠盐等入手。根据日本厚生省研究组的卡片调查,洋地黄、利尿剂可以用于大部分 DCM 患者。使用洋地黄时必须注意 DCM 患者容易发生洋地黄中毒。
Dilated cardiomyopathy (DCM for short) is a disease of incomplete contraction, unknown etiology and poor prognosis. The disease is no cure. The treatment is mainly for cardiac insufficiency, arrhythmia, thromboembolism and so on. First, the general treatment, digitalis and diuretic DCM cardiac insufficiency in addition to the use of beta blockers, with general treatment of heart failure no difference. The first is to correct anemia, removal of infection and pulmonary embolism and other deteriorating factors, sedation, sodium and other restrictions on start. According to the Japanese Ministry of Health research team’s card survey, digitalis, diuretics can be used for most DCM patients. When using digitalis, care must be taken that digitalis is susceptible to DCM in patients.