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目前对病毒性心肌炎肯定地诊断很困难。有些有关病毒方面的检查缺乏特异性,加之心肌活检还不能广泛开展。即使做心肌活检也只能检查局部心肌,不能反映整体。现在临床上靠慎重的全面病史调查,及有关全面检查、仔细分析,逐一剔除已明原因的心肌炎,如风湿性心肌炎、感染中毒性心肌炎、药物所致心肌炎、然后结合心电图与 X 线检查以及化验结果综合判断,做出临床诊断,诊断要点如下:
The current positive diagnosis of viral myocarditis is difficult. Some of the lack of specificity of the virus examination, combined with myocardial biopsy can not be widely carried out. Even if you do myocardial biopsy can only check the local myocardium, can not reflect the whole. Clinically now by careful comprehensive history of the investigation, and the comprehensive examination, careful analysis, one by one excluded myocarditis have been reason, such as rheumatic myocarditis, viral myocarditis infection, drug-induced myocarditis, and then combined with ECG and X-ray examination and laboratory tests The results of a comprehensive judgment, to make a clinical diagnosis, the diagnosis is as follows: