120例心肌炎病人的病毒抗体、心肌抗体及酶学检测

本文对１２０例心肌炎病人血清中病毒抗体、心肌抗体及酶学改变进行了检测，其中ＣｏｘｓａｃｋｉｅＢ病毒抗体检出阳性率为３３．３３％；心肌抗体检出阳性率为３３．３３％；有酶学改变者占４６．６７％。三项指标中有两项以上阳性者３０例，占２５％。我们同时检测了１００例正常对照（献血队员）血清，其假阳性率分别为ＣｏｘｓａｃｋｉｅＢ病毒抗体２％；心肌抗体１％，有酶学改变者６％。心肌炎病人的三项检测指标明显高于正常对照组，统计学处理差异显著（Ｐ＜０．０１）。结果提示同时进行三项指标检测，有利于心肌炎的确诊。

Myocardial antibody,virus antibody and serum enzyme for myocarditis diagnosis

We detected the level of Myocardial antibody,virus antibody and serum enzyme in 120 patients with myocarditis.The results showed that postitive rate of Coxsackie B virus antibody was 33 33%(40/120); positive rate of myocardial antibody was 33 33%(40/120);the change of serum enzyme was 46 67%(56/120).While virus antibody positive rate was 2%,myocardial antibody positive rate was 1%,and the change or serum enzyme was 6% in the control group.Positive rate markedly increased in myocarditis group than in control group ( P <0.01)。Total positive rate of 3 methods was 86 67%(104/120).The abovementioned result suggested that detection of 3 signs at the same time would impove myocarditic diagnosis.