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本文就病毒性心肌炎73例和风湿性心肌炎30例,作了临床资料对比分析。风湿性者发病年龄较大,前驱感染距发病时间多在一周以后(85.7%),多有心脏杂音(66.7%),且多于治疗后消失(75%),心电图以传导阻滞为多(80%),抗“O”、血沉较高,激素治疗效果佳(96.6%),易出现窦缓(43.3%);而病毒性者发病年龄较小,前驱感染距发病时间多在一周以内(72.7%),有心脏杂音者仅25%,且治疗后多无变化,心电图多为异位心律(72.6%),抗“O”、血沉正常或轻度升高,激素治疗效果较差(47.8%),很少出现窦缓(仅4.5%)。
In this paper, 73 cases of viral myocarditis and rheumatic myocarditis in 30 cases, made a comparative analysis of clinical data. The age of onset of rheumatic diseases was relatively high. Precursive infection took more than one week after the onset (85.7%), more heart murmur (66.7%) and more disappeared after treatment (75%), electrocardiogram with conduction block was more 80%), anti-O, high ESR, good hormone therapy (96.6%), prone to sinus bradycardia (43.3%), while the age of onset of the virus is small, the precursor infection from the onset time more than a week 72.7%), only 25% had heart murmur and had no change after treatment. Most of them had ectopic heart rhythm (72.6%), anti-O, normal or mild erythrocyte sedimentation rate, and poor hormone therapy (47.8 %), Sinus dilation rarely occurs (only 4.5%).