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目的分析、总结53例急性重症病毒性心肌炎(SVM)的首诊症状和临床特征及转归。方法收集1999年3月至2007年6月临床诊断的急性重症病毒性心肌炎53例。男33例,女20例,年龄12~39岁,平均(26±14)岁。分析归纳SVM的首诊症状及临床经过。结果急性重症病毒性心肌炎首诊症状为晕厥、气促、胸痛者多,临床表现多样,病程凶险,心肌酶升高持续时间长,但无心肌梗死时的酶峰变化,少数患者发展为扩张型心肌病。结论急性重症病毒性心肌炎表现多样,病程凶险,但仍以心脏表现为主,临床表现和客观的辅助检查指标是诊断该病的重要依据。
Objective To analyze and summarize the first diagnosis and clinical characteristics and prognosis of 53 cases of acute severe viral myocarditis (SVM). Methods A total of 53 cases of acute severe viral myocarditis were collected from March 1999 to June 2007. There were 33 males and 20 females, aged from 12 to 39 years, with an average of (26 ± 14) years. Analysis and summarization of the first diagnosis of SVM symptoms and clinical experience. Results The first symptom of acute severe viral myocarditis was syncope, shortness of breath, chest pain and many clinical manifestations, dangerous course, elevated myocardial enzymes lasting a long time, but no myocardial infarction peak changes in enzyme, a few patients developed dilatation Cardiomyopathy. Conclusions Acute severe viral myocarditis has various manifestations and dangerous course, but still the main manifestation of heart. The clinical manifestations and objective auxiliary examination indexes are important basis for diagnosis of the disease.