急性重症病毒性心肌炎患者的临床分析

Clinical Aanalysis of Patients with Acute Severe Viral Myocarditis

目的本研究主要就急性重症病毒性心肌炎患者的诊治方法以及临床特征展开分析讨论，以此来为此类患者的临床治疗提供参考依据。方法选择我院2004年1月至2008年12月所收治的72例急性重症病毒性心肌炎患者作为研究对象，对其临床资料进行回顾性分析。结果在本研究的所有患者中，有3例患者死亡，有5例患者在发病后1～2年，其病情进展为扩张型心肌病，19例患者出现了遗留心电图后遗症。结论急性重症病毒性心肌炎的临床表现较多，其确诊手段也相对较多，但某些诊断的阳性率较低或难以实施，因此，在对急性重症病毒性心肌炎患者进行临床诊疗时，一定要注重临床资料，提高患者在诊断过程中的客观指标。

Objective Analysis and discussion of diagnosis and treatment of patients with acute severe viral myocarditis and clinical characteristics, provides the reference for the clinical treatment of such patients. Methods Our hospital from 2004 January to 2008 December 72 cases of acute severe viral myocarditis patients as the research object, and the clinical data were retrospectively analyzed. Results In all patients in the study, 3 patients died, 5 patients in I - 2 years after the onset of the disease, the disease progress to dilated cardiomyopathy, 19 patients appeared the legacy ECG sequela. Conclusion In acute severe viral myocarditis patients for clinical diagnosis and treatment, must pay attention to the clinical data, improve the objective index in the diagnosis of patients with.