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目的探讨病毒性心肌炎的临床诊断及治疗。方法选择临床收治的40例患者,明确病毒性心肌炎诊断,进行抗炎、抗病毒、抗心律失常、保护心肌及激素疗法等治疗。治疗后随访3年,观察临床治疗效果。结果随访3年,治愈病例数为21例,治愈率达到52.50%,好转病例数为16例,占40%,死亡病例数为3例,占7.50%。其中有2人出现心律失常,经过治疗痊愈,有8例患者在劳累后出现心慌,能够自行缓解。结论病毒性心肌炎要综合临床表现、实验室检查及影像学分析明确诊断,进行早期治疗,多数预后良好。
Objective To investigate the clinical diagnosis and treatment of viral myocarditis. Methods Forty patients with clinically accepted treatment were enrolled in this study. Their diagnosis was confirmed by viral myocarditis. Anti-inflammatory, anti-virus, anti-arrhythmia and protection of myocardium and hormone therapy were performed. Followed up for 3 years after treatment and observed the effect of clinical treatment. Results The follow-up of 3 years, the number of cases cured was 21 cases, the cure rate reached 52.50%, the number of cases of improvement was 16 cases, accounting for 40%, the number of deaths was 3 cases, accounting for 7.50%. Two of them had arrhythmias, and after treatment healed, eight patients developed palpitation after exertion and were able to relieve themselves. Conclusion Viral myocarditis should be integrated with clinical manifestations, laboratory tests and imaging analysis of a clear diagnosis, early treatment, most of the prognosis is good.