暴发型心肌炎12例临床分析  

Clinical Analysis for the 12 cases of Fulminant Myocarditis

作　　者：杭娟[1] 张斌[1] 王纯[1] 董会奕 刘忠铭[1] 

机构地区：[1]深圳市中心医院心内科,518036

出　　处：《罕少疾病杂志》2000年第3期21-22,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的 重视暴发型心肌炎的临床特征和辅助检查特点，提高对本病的识别能力和治疗水平。方法 分析 12例病人的临床表现、心电图特点、影像学改变等结果，以便发现其内在规律性。结果 12例中，表现为猝死者 2例，心力衰竭者 7例，心源性休克者 3例，合并严重房室阻滞者 5例；病因中病毒感染所致者 9例，细菌感染所致者 3例；经治疗后， 5例存活， 7例死亡。结论 暴发型心肌炎临床表现复杂而多变，临床诊断应强调综合分析，治疗上要因人而异，及时处理。Objecitive To improve the identify ability and treated level of fulminant myocarditis Attaching importance to the clinical and assistant examine characteristics.Methods Analyzing the results of 12 patients' clinical manifestations and electrocardiogram and imaging changes,in order to find the inherent disciplinarian of the disease.Results In the 12－ cases there were behaving as the sudden death,7 as congestive heart failure,3 as cardiac shock,5 combining with severe atrialventrcular block.For the pathogeny,9 patients were infected with virus,3 with bacteria,5 cases were alive,7 cases were died after treatment.Conclusion The clinical manifestations of fulminant myocarditis is complicated and changeful,the clinical diagnosis must emphasize comprehensive analysis and deal with the patients on the basis of the patients' situation in time.

关 键 词：心肌炎 诊断 治疗 

分 类 号：R542.21[医药卫生—心血管疾病]