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病毒性心肌炎发病机制至今仍未完全阐明,主要包括病毒复制、细胞骨架蛋白破坏、细胞凋亡、免疫反应等,不同发病阶段主要的发病机制不尽相同。目前尚无特异辅助诊断方法,新近诊断手段包括心肌核磁共振、心肌核磁共振引导下心肌活检及心肌显像等,心肌核磁共振为心肌炎的无创诊断展现了新的前景。
The pathogenesis of viral myocarditis has not yet been fully elucidated, including virus replication, cytoskeletal protein destruction, apoptosis, immune response, the main pathogenesis at different stages of disease are not the same. There are no specific ancillary diagnostic methods, recent diagnostic tools, including myocardial MRI, myocardial magnetic resonance imaging under myocardial MRI and myocardial imaging, myocardial magnetic resonance imaging of myocarditis noninvasive diagnosis shows a new prospect.