【摘要】 目的通过对108例急性病毒性心肌炎患者的临床资料进行分析,总结急性病毒性心肌炎的不同临床表现及诊疗经验。方法收集我院2002年1月至2007年12月收治的急性病毒性心肌炎108例,分析其临床表现、相关检查结果、诊治经过、预后情况。结果青壮年发病比例高(87%);临床表现多样性,多数以心悸、气促、胸闷、胸痛、乏力为首发症状;心电图异常以ST-T改变和早搏最多见;心肌损伤指标cTnICK-MB明显增高;多数预后良好,少数遗留室性早搏等后遗症,极个别发展为扩张性心肌病。结论急性病毒性心肌炎临床表现多样,注重临床资料及心肌受损的客观指标,可提高诊断正确率。更多还原

【Abstract】 Objective To analyze the different clinical features,the diagnosing and treating experiences of acute virus myocarditis(AVM) in 108 cases. Methods To analyze the clinical manifestations,correlate test results,diagnostic and therapeutic process and prognosis of 108 patients hospitalized of AVM from January 2002 to December 2007 in our hospital.Results Most of them were young adults(87%).Palpitation,short of breath,chest stuffy,chest pain and vapidity were the first symptoms.The ST-T change and the premature ventriclar beats were very appearance of ECG.The level of cTnI and CK-MB of cardiac muscle damage target were obvious increase.The prognosis were good,few premature ventricular beat were not cure and very few cases developed to dilated cardiomyopathy.Conclusion The clinical representations of acute virulent myocarditis are diversified.It is necessary to pay more attention to clinical data and objective indices so as to promote the accuracy of the diagnosis.更多还原