急性病毒性心肌炎的临床分析

Clinical analysis of acute viral myocarditis

目的分析急性病毒性心肌炎的临床表现及各项辅助检查的特点,为今后的诊断和治疗积累经验。方法查阅1982～2002年临床诊断为急性病毒性心肌炎患者的病例,归纳整理。结果急性病毒性心肌炎病情危重,严重者可伴有其他脏器的损害;血清酶类持续升高,且无酶峰变化;少数患者可发展为扩张型心肌病。结论急性病毒性心肌炎临床表现多样,应根据临床、辅助检查(包括实验室检查)的各项指标综合判定,确切诊断和治疗。

Objective To accumulate the experience of diag nosis and therapy for viral myocardi tis,the characterisitic of symptoms and lab examinations were a nalyzed.Method The cases of acute viral myocarditis during 1982to 2002were stud-ied.Result The condition of viral myocarditis was dangerous.The worse one could acc ompany by damages of other organs.The continuously increase in blood seru m enzyme was found,and noe peak changed.A few cases developed to dilated c ardiomyopa-thy.Conclusion The symptoms of acute myocarditis are various.The diagnosis and therapy for it should be accord with the com-plex index of symptoms and lab examin ations.[