病毒性心肌炎诊断的心音图和收缩时间间期分析

Value of changes of S1 and STL in diagnosis of viral myocarditis

目的 探讨心音图及收缩时间间期对病毒性心肌炎的诊断价值 方法 本文对44例临床有明显乏力等症状,体征伴有S_1(第一心音)降低,并经PCG(心音图)证实的病例,在除外其他心脏器质性病变后,进行CBV(柯萨奇病毒抗体)、抗心肌抗体、ECG(心电图)、血清酶谱、X线胸片、UCG(心动超声图)、LST1(左室收缩时间间期)、RSTI(右室收缩时间间期)、ESR(血沉)和ASO(抗“O”)等一系列检测.结果 发现CBV及抗心肌抗体阳性者34例(占77%),STI(收缩时间间期)延长40例(占90%).结论 S_1降低和STI延长对病毒性心肌炎的诊断具有一定的临床价值.

After excluding other heart disease,44 cases with fatigue and reducing S1 received the tests of CBV、antimyocardial antibody、 ECG、serum enzyme、 x-ray chest image、UCG、LSTI、RSTI、ESR and ASO. Within these cases,the CBV and antimyocar-dial antibody of 34 cases (77%) were positive,and the STI became longer in 40 cases(90%). Therefore,the tests of PCG and STI are value for the diagnosis of viral myocarditis.