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目的分析21例病毒性心肌炎(viral myocarditis,VM)患者的临床特征和辅助检查特点,总结VM不同的临床特点。方法对21例VM患者进行回顾性归纳、分析。结果轻症患者预后良好,其中有5例患者遗留有偶发室早,2例患者遗留有偶发房早。重症患者治愈2例,死亡4例,病死率67%,其中有1例患者病愈1年后复查心脏彩超,发展为扩张型心肌病。结论VM临床表现多样,诊断上缺乏特异的临床特征和辅助检查指标,应结合病毒感染史,心悸、胸闷等临床症状和心肌损伤的客观指标作出诊断。治疗上要安静卧床,中西医结合,积极预防和治疗并发症。轻型预后良好,重型预后差,病死率高。
Objective To analyze the clinical features and auxiliary features of 21 patients with viral myocarditis (VM) and summarize the different clinical features of VM. Methods 21 cases of VM were retrospectively summarized and analyzed. Results The patients with mild disease had a good prognosis, of which 5 patients had sporadic premature ventricular arrest and 2 patients had sporadic premature ventricular arrest. Severe patients were cured in 2 cases, 4 died, the mortality rate of 67%, of which 1 patient recovered after a year review of echocardiography, the development of dilated cardiomyopathy. Conclusions The clinical manifestations of VM are diverse and its diagnosis lacks specific clinical features and auxiliary examination indexes. It should be combined with the objective indicators such as viral infection history, palpitations, chest tightness and other clinical symptoms and myocardial injury. Treatment should be quiet bedridden, Integrative Medicine, and actively prevent and treat complications. Light good prognosis, poor prognosis, high mortality.