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病毒性心肌炎确立至今已20余年,但对本病诊断及防治尚有待进一步探索,现参阅有关文献对有关问题作一讨论。一、病因 1899年 Fiedler 氏首次病理报告弥慢心肌炎,心肌间质内有炎症细胞浸润,心肌纤维有不同程度退行性变。而心内膜及心外膜则无炎症改变病例,被称为孤立性心肌炎。1932年 Mancn观察一组患腮腺炎致死病例,认为是由于心肌炎所致,并首次提出病毒可能是心肌炎的病因。1955年
Viral myocarditis has been established for more than 20 years, but the diagnosis and prevention of this disease remains to be further explored, reference is made to the relevant literature to discuss the issues. First, the cause 1899 Fiedler’s first pathological report of chronic myocarditis, myocardial interstitial infiltration of inflammatory cells, myocardial fibers have varying degrees of degenerative changes. The endocardial and epicardial inflammation is no change in cases, known as isolated myocarditis. In 1932, Mancn observed a group of deaths from mumps, thought to be due to myocarditis, and for the first time suggested that the virus might be the cause of myocarditis. 1955