急性病毒性心肌炎的临床分型与诊断

总结了我院 1 977年 1月至 1 999年 1月临床诊断的急性病毒性心肌炎 1 1 4例 ,男 61例 ,女 53例 ,年龄 1 6～4 8岁 ,平均 ( 38.6± 2 .1 )岁。将心肌炎归纳为重症型、心律失常型和单纯ST T改变型。通过对各型心肌炎临床特征和辅助检查特点的分析 ,得出以下结论 :急性病毒性心肌炎的病情轻重悬殊 ,严重者可合并有其他脏器损害 ,少数病人可发生左心室增大 ,扩张性心肌病 ;血清酶增高以持续时间长但不伴有酶峰变化为特点 ;虽然病毒学检查是诊断心肌炎的可靠依据 ,但临床检查阳性率低 ,目前诊断病毒性心肌炎多依据典型的临床特征和心肌受损的客观依据

Clinical Diagnosis andTyping of Acute Virus Myocarditis

One hundred and fourteen patients with Acute Virus Myocarditis(AVM)were reported from Jan 1977 to 1999, male: 61 patients, female: 53 patients, age: from 16 to 48 years old, average age:(38.6±2.1)years old. According to their clinical symptoms, AVM patients were divided into three types: severe type, cardiac arrhythmia type and single ST-T wave shift type. AVM patients were tested by clinical sign, ultrasound cardiograph, serum enzyme test and serum virus test. The clinical symptoms varied from each patients with AVM. There were severe injuries of other organs in some patiernts with AVM, and left ventricular inner diameter enlarged in a few patients with AVM, and then developed into Dilated Cardiomyopathy. Serum enzyme increased for a long time without enzyme peak changes. Positive rate was very low in serum virus test in patients with AVM. Clinical diagnose of AVM is mainly on the basis of patient's clinical signs and injuries of the myocardium.