【摘要】 目的 通过对17例急性重症病毒性心肌炎的临床特点和辅助检查结果进行分析,总结急性重症病毒性心肌炎的不同临床表现及治疗转归和预后。结果 急性重症病毒性心肌炎病情危重,部分患者病程进展快,大部分患者同时伴有其它脏器损害;部分患者出现心室扩大;血清酶学增高、持续时间长且不伴有酶峰变化、血清肌钙蛋白检查阳性是急性重症病毒性心肌炎的特点;目前诊断急性重症病毒性心肌炎仍需依靠典型的临床表现和心肌受损的客观依据。结论 急性重症病毒性心肌炎的临床表现多变,注重对临床资料和心肌损害客观指标的收集,提高急性重症病毒性心肌炎的早期诊断和早期治疗,以降低死亡率和改善预后。更多还原

【Abstract】 Objective 17 patients with serious acute virus myocardial were analyzed,includingclinical sigtn , echocardiography , serum enzyme level.Methods 17 patients hospitalized with acutevirus myocardial(AVM)during 1993～2003 were included male in 11, female in 5, ageed from 15 to 51 yearsold, with a mean of (32.3±4.1) years old . The clinical course and characteristics in all patients wereanalyzed.Results The clinical condition was very serious in each patients with acute virusmyocardial,all were complicated with other organs injury.some patients occurred ventricular enlarge-ment and dilated cardiomyopathy followed lated in a few patients with acute virus myocardial.serum enzymeincreased for along time without enzyme peak, which presented as acharacter of acute virus myocardial.Conclusion clinical diagnosis of mainly depends on patient’s clinical sign and objective evidenceof myocardial injury.更多还原