CAJ | 학술논문

目的探讨酷似急性心肌梗死的急性重症病毒性心肌炎患者的临床特点和治疗方法,以提高急性重症病毒性心肌炎的早期诊断率和治愈率.方法选取2010年6月至2012年6月佛山市禅城区中心医院收治的酷似急性心肌梗死的急性重症病毒性心肌炎患者36例与急性心肌梗死患者40例,收集患者临床信息进行对比分析；并评价急性重症病毒性心肌炎的治疗效果.结果急性重症病毒性心肌炎和急性心肌梗死患者在感染史、发热、胸痛、阿-斯综合症发生率以及CK峰值、CK-MB峰值、房室传导阻滞、异常Q波上存在差异,具有统计学意义(P＜0.05).治疗后,患者心功能得到显著提高,差异具有统计学意义(P＜0.05).结论酷似急性心肌梗死的急性重症病毒性心肌炎可通过心电图表现、心肌酶检查结果与急性心肌梗死进行鉴别.早诊断、早治疗有助于提高疗效.
목적 탐토혹사급성심기경사적급성중증병독성심기염환자적림상특점화치료방법,이제고급성중증병독성심기염적조기진단솔화치유솔.방법 선취2010년6월지2012년6월불산시선성구중심의원수치적혹사급성심기경사적급성중증병독성심기염환자36례여급성심기경사환자40례,수집환자림상신식진행대비분석；병평개급성중증병독성심기염적치료효과.결과 급성중증병독성심기염화급성심기경사환자재감염사、발열、흉통、아-사종합증발생솔이급CK봉치、CK-MB봉치、방실전도조체、이상Q파상존재차이,구유통계학의의(P＜0.05).치료후,환자심공능득도현저제고,차이구유통계학의의(P＜0.05).결론 혹사급성심기경사적급성중증병독성심기염가통과심전도표현、심기매검사결과여급성심기경사진행감별.조진단、조치료유조우제고료효.
Objective To develop the clinical features and treatment of acute myocardial infarctionlike-viral myocarditis,raising the early diagnose rate and cure rate of this disease.Methods Thirty six patients with acute myocardial infarction-like-viral myocarditis and 40 with acute myocardial infarction were selected from people who visited Central hospital of Foshan Chancheng during June 2010 to June 2012.Patients' clinical features were collected and compared.Curative effect of acute myocardial infarction-like-viral myocarditis was evaluated.Results There were significant difference of clinical features between patients with acute myocardial infarction-like-viral myocarditis and acute myocardial infarction in the following aspects:the present of infecting with particular virus' history,fever,chest pain,adams-stokes (P ＜ 0.05).Besides,the peak of CK and peak of CK-MB were higher in patients with myocardial enzyme of acute myocardial infarction-like-viral myocarditis than that in patients with acute myocardial infarction(P ＜ 0.05).In addition,the presents of atrioventricular block and abnormal Q wave were different between the two groups(P ＜ 0.05).After treatment,the cardiac function improved significantly (P ＜ 0.05).Conclusions Acute myocardial infarction-like-viral myocarditis could be distinguished with acute myocardial infarction by electrocardiogram and testing results of myocardial enzyme.Early diagnose and early cure are helpful to improve the curative effect.