CAJ | 학술논문

总结了我院1977年1月至1999年1月临床诊断的急性病毒性心肌炎114例，男61例，女53例，年龄16～48岁，平均(38.6±2.1)岁。将心肌炎归纳为重症型、心律失常型和单纯ST-T改变型。通过对各型心肌炎临床特征和辅助检查特点的分析，得出以下结论：急性病毒性心肌炎的病情轻重悬殊，严重者可合并有其他脏器损害，少数病人可发生左心室增大，扩张性心肌病；血清酶增高以持续时间长但不伴有酶峰变化为特点；虽然病毒学检查是诊断心肌炎的可靠依据，但临床检查阳性率低，目前诊断病毒性心肌炎多依据典型的临床特征和心肌受损的客观依据。
총결료아원1977년1월지1999년1월림상진단적급성병독성심기염114례，남61례，녀53례，년령16～48세，평균(38.6±2.1)세。장심기염귀납위중증형、심률실상형화단순ST-T개변형。통과대각형심기염림상특정화보조검사특점적분석，득출이하결론：급성병독성심기염적병정경중현수，엄중자가합병유기타장기손해，소수병인가발생좌심실증대，확장성심기병；혈청매증고이지속시간장단불반유매봉변화위특점；수연병독학검사시진단심기염적가고의거，단림상검사양성솔저，목전진단병독성심기염다의거전형적림상특정화심기수손적객관의거。
One hundred and fourteen patients with Acute Virus Myocarditis (AVM) were reported from Jan 1977 to 1999, male: 61 patients, female: 53 patients, age: from 16 to 48 years old, average age:(38.6±2.1) years old. According to their clinical symptoms, AVM patients were divided into three types: severe type, cardiac arrhythmia type and single ST-T wave shift type. AVM patients were tested by clinical sign, ultrasound cardiograph, serum enzyme test and serum virus test. The clinical symptoms varied from each patients with AVM. There were severe injuries of other organs in some patiernts with AVM, and left ventricular inner diameter enlarged in a few patients with AVM, and then developed into Dilated Cardiomyopathy. Serum enzyme increased for a long time without enzyme peak changes. Positive rate was very low in serum virus test in patients with AVM. Clinical diagnose of AVM is mainly on the basis of patient's clinical signs and injuries of the myocardium.