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病毒性心肌炎可同时伴有心包炎,称为病毒性心肌心包炎。由于目前病毒分离及血清学检查,尚未能普遍进行,该病诊断主要靠临床分析。兹报告6例如下。 一、临床资料 1.一般资料 本组男4例,女2例。4例在5～7月发病,2例在12月、元月发病。 2.症状 主要为发热、胸痛、心悸,3例先有感冒症状,1例呼吸困难,轻度浮肿。无一例有肌痛及关节痛。 3.体征 5例有心包摩擦音及心脏扩大,1例淋巴结肿大,3例心律失常、胸腔积液,1例心力衰竭。本组来发现有器质性杂音及奔马律,亦无皮疹、静脉炎、肝炎、肾炎、关节炎等表现。 4.心电图 本组5例心电图不正常。其中2例各导联T波普遍低平,1例完全性左束枝阻滞、伴有
Viral myocarditis can be accompanied by pericarditis, known as viral myocarditis. Due to the current virus isolation and serological tests, has not yet been generally carried out, the diagnosis of the disease mainly by clinical analysis. Here are 6 examples below. First, the clinical data 1. General Information The group of 4 males and 2 females. 4 cases in 5 to 7 months onset, 2 cases in December, January incidence. 2. The main symptoms of fever, chest pain, heart palpitations, 3 cases of first cold symptoms, 1 case of dyspnea, mild edema. No case of myalgia and joint pain. 3 signs of 5 cases of pericardial frictional and heart enlargement, 1 case of lymphadenopathy, 3 cases of arrhythmia, pleural effusion, 1 case of heart failure. This group to find organic murmur and gallop, nor rash, phlebitis, hepatitis, nephritis, arthritis and other performance. 4. ECG in this group of 5 cases ECG is not normal. Two cases of lead T wave generally low level, a complete left bundle branch block, with