国际病毒学杂志
國際病毒學雜誌
국제병독학잡지
INTERNATIONAL JOURNAL OF VIROLOGY
2013年
5期
233-236
,共4页
急性重症病毒性心肌炎%临床表现%检查%治疗%疗效
急性重癥病毒性心肌炎%臨床錶現%檢查%治療%療效
급성중증병독성심기염%림상표현%검사%치료%료효
Acute severe viral myocarditis%Clinical manifestation%Examination%Treatment%Curative effect
目的 分析急性重症病毒性心肌炎病例临床特征及有效治疗方法,为临床医师诊疗提供可靠依据,保障患者生活质量及生命安全.方法 通过以下三种方式:(1)电话回访2010年来陕西省志丹县人民医院就诊的17例急性重症病毒性心肌炎患者；(2)对救护患者的医护人员进行询问；(3)查阅病历,了解患者临床表现、检查结果、治疗方法和临床疗效等.使用SPSS13.0软件进行统计学分析.结果 17例急性重症病毒性心肌炎患者中,11.76％需植入心脏永久起搏器；47.06％治疗后出现后遗症(其中50.00％为扩张型心肌病)；52.94％患者死亡,死亡病例中77.78％为急性期死亡.结论 临床医师应根据患者临床表现、检查结果,结合患者是否有病毒感染史综合判断,提高病毒性心肌病诊断正确率,给予及早、有效的治疗,保障患者生命安全.
目的 分析急性重癥病毒性心肌炎病例臨床特徵及有效治療方法,為臨床醫師診療提供可靠依據,保障患者生活質量及生命安全.方法 通過以下三種方式:(1)電話迴訪2010年來陝西省誌丹縣人民醫院就診的17例急性重癥病毒性心肌炎患者；(2)對救護患者的醫護人員進行詢問；(3)查閱病歷,瞭解患者臨床錶現、檢查結果、治療方法和臨床療效等.使用SPSS13.0軟件進行統計學分析.結果 17例急性重癥病毒性心肌炎患者中,11.76％需植入心髒永久起搏器；47.06％治療後齣現後遺癥(其中50.00％為擴張型心肌病)；52.94％患者死亡,死亡病例中77.78％為急性期死亡.結論 臨床醫師應根據患者臨床錶現、檢查結果,結閤患者是否有病毒感染史綜閤判斷,提高病毒性心肌病診斷正確率,給予及早、有效的治療,保障患者生命安全.
목적 분석급성중증병독성심기염병례림상특정급유효치료방법,위림상의사진료제공가고의거,보장환자생활질량급생명안전.방법 통과이하삼충방식:(1)전화회방2010년래합서성지단현인민의원취진적17례급성중증병독성심기염환자；(2)대구호환자적의호인원진행순문；(3)사열병력,료해환자림상표현、검사결과、치료방법화림상료효등.사용SPSS13.0연건진행통계학분석.결과 17례급성중증병독성심기염환자중,11.76％수식입심장영구기박기；47.06％치료후출현후유증(기중50.00％위확장형심기병)；52.94％환자사망,사망병례중77.78％위급성기사망.결론 림상의사응근거환자림상표현、검사결과,결합환자시부유병독감염사종합판단,제고병독성심기병진단정학솔,급여급조、유효적치료,보장환자생명안전.
Objective To analyze the cases of acute severe viral myocarditis clinical characteristics and effective treatment,provide a reliable basis for the diagnosis and treatment of clinicians,guarantee life quality and safety in the patients.Methods The clinical data of 17 acute severe viral myocarditis patients who received medical treatment in Zhidan county of Shanxi province people's hospital in 2010 were collected.The information of clinical manifestations,various clinical examination results,methods of treatment,and the clinical curative effect of the cases were collected through telephone interview,medical personnel questionnaire surveys,and case history reading.Results Of the 17 acute severe viral myocarditis patients,11.76％ required permanent pacemaker implantation; 47.06％ patients had complications (50％ of the patients had dilated cardiomyopathy) ; 52.94％ of them died (most of them were acute death) accounting for 77.78％ of the death.Conclusions The clinical diagnosis should base on clinical manifestations,clinical findings,and history of viral infection.We should improve the diagnosis correct rate and provide early treatment,improve the treatment effect of the patients,guarantee the safety of the patients.
