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急性重症病毒性心肌炎26例临床分析
引用本文:王运.急性重症病毒性心肌炎26例临床分析[J].中国医学文摘:老年医学,2011(9):836-837.
作者姓名:王运
作者单位:驻马店市中心医院呼吸重症医学科,河南463000
摘    要:目的探讨急性重症病毒性心肌炎的临床特点、治疗方法及效果。方法对26例急性重症病毒性心肌炎患者的一般资料、感染情况、临床表现、相关检查结果、治疗和预后情况进行分析总结。结果22例患者抢救成功,成功率为84.6%。死亡4例,其中2例死于急性期(均存在心源性休克),另2例死于急性肺水肿。结论急性重症病毒性心肌炎病情发展迅速,预后欠佳,在临床上应高度重视,尽早诊断并积极治疗。

关 键 词:病毒性心肌炎  急性重症  免疫病理机制  临床治疗

Clinical analysis of 26 case of severe acute viral myocarditis
Authors:WANG Yun
Institution:WANG Yun(Department of Respiratory Critical CareMedicine, the Central Hospital of Zhian City, Henan 463000, China)
Abstract:Objective To explore the clinical treatment method of severe acute viral myocarditis and analyze its efficacy. Methods The clinical data of 26 cases of severe acute viral myocarditis were retrospectively analyzed including general data,infection situation, clinical manifestations, clinical test results, treatment and prognosis. Results 22 of 26 cases were successfully rescued. The success ratio was 84. 6%. 4 cases died,including 2 cases died in the acute stage with cardiogenic shock,the other 2 cases died from acute pulmonary edema. Conclusion Severe acute viral myocarditis is an acute disease with poor prognosis. More attention should be paid to early diagnosis and positive treatment of this disease.
Keywords:Viral myocarditis  Severe acute  Immunopathogenesis  Clinical treatment
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