摘要
目的 通过对 52例急性重症病毒性心肌炎的临床特征和辅助检查特点进行分析 ,总结了重症心肌炎的不同临床表现及转归。方法 收集 1 977年 1月～ 2 0 0 0年 1月临床诊断的急性重症病毒性心肌炎 52例 ,男 30例 ,女 2 2例 ,年龄 1 7～ 49(33 5± 1 6)岁。分析归纳了重症病毒性心肌炎的临床经过和发病特点。结果 急性重症病毒性心肌炎病情危重 ,严重者可同时伴有其他脏器的损害 ;少数患者可遗留心室增大 ,随后发展为扩张型心肌病 ;血清酶增高持续时间长和不伴有酶峰变化为其特点。虽然病毒学检测是诊断心肌炎的常规方法 ,但阳性率低 ,目前临床诊断急性重症病毒性心肌炎仍然依据典型的临床特征和心肌受损的客观依据。结论 急性重症病毒性心肌炎临床表现多样 ,注重临床资料。
Objective Fifty two patients with serious acute virus myocarditis were analyzed, including clinical sign, echocardiography, serum enzyme level and serum virus test Methods Fifty two patients hospitalized with acute virus myocarditis (AVM) during serious 1977-2000 were included, male in 30, female in 22, aged from 17 to 49 years old, with a mean of (33 5±1 6) years old The clinical course and characteristics in all patients were analyzed Results The clinical condition was very serious in each patients with AVM, some was complicated with other organs injury Ventricular enlargement occurred and dilated cardiomyopathy followed later in a few patients with AVM Serum enzyme increased for a long time without enzyme peak, which presented as a character of AVM Although virus test could offer a reliable evidence for diagnosis of AVM, positive rate was very low Conclusion Clinical diagnosis of mainly depends on patient's clinical sign and objective evidence of myocardial injury
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
2002年第1期31-33,共3页
Chinese Journal of Cardiology
