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急性病毒性心肌炎107例临床分析

107 Cases of Acute Viral Myocarditis in Adult Life

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【作者】 曾雅儒吴树燕曹珊

【Author】 Zeng Yaru et al

【机构】 北京积永潭医院内科北京医学院第一附属医院内科北京积永潭医院内科

【摘要】 本文报告北京市九个医院急性病毒性心肌炎107例,有上感史者85%。临床症状及体征多为心慌、气短、胸闷、胸痛、心脏扩大、第一心音减弱、窦性心动过速、奔马律、心包摩擦音等,严重者有心力衰竭、阿斯综合征,心电图对本病诊断比较敏感。本组治疗痊愈及好转者80.3%,死亡率3.8%,长期留有后遗症心电图不正常者15.9%。对诊断及治疗进行了讨论。

【Abstract】 This article reports 107 cases of acute viral myocarditis in adult life in 9 hospitals in Beijing. A history of U R I was obtained in 85%. Clinical symptoms and signs were palpitation, shortness of breath, chest trouble, chest pain, enlargement of the heart, decreased 1st heart sound, sinus tachycardia, gallop rhythm and pericardial frictional rub. The severest forms were cardial failure and Adams-Stock syndrome. ECG was very helpful for the diagnosis. 80% of this group of patients had been cured or much improved. The mortality rate was 3.8%, and the sequele of abnormal ECG was 15.9%. The diagnosis and treatment of this condition are discussed.

  • 【文献出处】 北京医学 ,Beijing Medical Journal , 编辑部邮箱 ,1981年05期
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