Objective To study the significance of echocardiography in diagnosis and prognostic evaluation of patients with alcoholic cardiomyopathy. Methods The clinical data of changes in echocardiography before and after treatment in 54 cases diagnosed as alcoholic cardiomyopathy during January 1991 to April 2010 were retrospectively analyzed. Results 46 of them with left ventricular enlargement, 42 cases with decreased ejection fraction, and 32 cases with decreased left ventricular wall motion. Studies on echocardiography were followed up in 25 patients,left ventricular end diastolic diameter was increased from 6.60 ± 1.07 cm to 7.32 ± 1.13 cm and left ventricular EF was decreased from ( 45.2 ± 16.7 )％ to ( 35.92 ± 11.1 )％ in 14 patients with no strict abstinence and systematic treatment, and left ventricular end diastolic diameter was decreased from 7.01 ± 1.18 cm to 6.33 ± 1.31 cm and left ventricular EF was increased from ( 36.8 ± 13.5 )％ to ( 46.6 ± 14.6 )％ in 11 patients with strict abstinence and systematic treatment. Conclusion Echocardiography is very important in diagnosis of patients with alcoholic cardiomyopathy and evaluation of efficacy of treatment and prognosis of patients.%目的 探讨超声心动图在酒精性心肌病诊断及评价预后中的作用.方法 回顾性分析我院自1991年1月至2010年4月诊治的54例酒精性心肌病患者戒断饮酒并进行系统内科治疗后,运用超声心动图监测患者戒酒治疗前后心肌改变.结果 54例酒精性心肌病患者中,左室增大46例,射血分数降低42例,左室整体室壁运动减弱32例.25例患者有超声复查结果,14例患者没有严格戒酒及系统治疗,左室内径从6.60±1.07 cm进展为7.32±1.13 cm,左室EF值由(45.2±16.7)%恶化为(35.92±11.1)%;而11例患者经严格戒酒及治疗前后左室内径7.01±1.18 cm缩小为6.33±1.31 cm,左室EF值由(36.8±13.5)%增加到(46.6±14.6)%.结论 超声心动图在酒精性心肌病诊断中占有重要地位,并对治疗效果的观察、预后的评价也具有重要的意义.
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