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近年来,国内文献关于病毒性心肌炎的临床报告日渐增多。随着风湿性心肌炎发病率逐渐减少,病毒性心肌炎发病率有相对增高趋势。后者已成为常见心脏病之一而受到重视。本院自1978年7月至1982年8月,根据临床资料住院诊断为病毒性心肌炎患者25例。诊断依据如下:①病前1～4周有病毒感染史,②短期内出现心肌炎症状及体征,③心电图有ST-T改变或心律失常,④能排除其它心脏病。部分病例虽无可寻之病毒感染史但具备上述三项标准经临床观察能除外其它心脏病者,我们亦诊断为病毒性心肌炎。
In recent years, the domestic literature on the clinical reports of viral myocarditis increasing. With the gradual reduction in the incidence of rheumatic myocarditis, the incidence of viral myocarditis has a relatively higher trend. The latter has become one of the common heart diseases and is valued. Our hospital from July 1978 to August 1982, based on clinical data were diagnosed as viral myocarditis in 25 patients. The diagnosis is based on the following: ① 1 to 4 weeks before the disease has a history of viral infection, ② symptoms and signs of myocarditis in the short term, ③ ST-T ECG changes or arrhythmias, ④ can rule out other heart disease. In some cases, although there is no history of virus infection, but with the above three criteria by clinical observation can exclude other heart disease, we also diagnosed as viral myocarditis.