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自从1947年Gore和Saphir报道在一组1420例心肌炎中,风湿性和白喉引起的心肌炎仅占10％以后,增加了人们对各种病毒性心肌炎的注意。虽然极少能在心肌中检出病毒,且仅少数病例具有提示病毒感染的临床证据,现在认为由病毒感染引起的心肌炎较过去所想象者为高。本文旨在对病毒性心肌炎的过去和现在作一概述,描述病毒性心肌炎的临床表现,考虑未知病因的心肌炎,确定心肌炎的发病率(包括亚临床病例),最后并讨论慢性病毒性心肌炎(或以往病毒性心肌炎的后遗)在发展为特发性心肌病中的作用,特别涉及免疫学
Since 1947 Gore and Saphir reported that in a group of 1420 cases of myocarditis, rheumatic and diphtheria-induced myocarditis accounted for only 10%, an increase of people’s attention to a variety of viral myocarditis. Although rare in the myocardium to detect the virus, and only a small number of cases with clinical evidence suggesting that the virus infection, and now that the virus infection caused by myocarditis higher than ever imagined. This article aims to summarize the past and present of viral myocarditis, describe the clinical manifestations of viral myocarditis, consider myocarditis of unknown etiology, determine the incidence of myocarditis (including subclinical cases), and finally discuss chronic viral myocarditis (or in the past The consequences of viral myocarditis) in the development of idiopathic cardiomyopathy, with particular reference to immunology