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本文对120例心肌炎病人血清中病毒抗体、心肌抗体及酶学改变进行了检测,其中CoxsackieB病毒抗体检出阳性率为33.33%;心肌抗体检出阳性率为33.33%;有酶学改变者占46.67%。三项指标中有两项以上阳性者30例,占25%。我们同时检测了100例正常对照(献血队员)血清,其假阳性率分别为CoxsackieB病毒抗体2%;心肌抗体1%,有酶学改变者6%。心肌炎病人的三项检测指标明显高于正常对照组,统计学处理差异显著(P<0.01)。结果提示同时进行三项指标检测,有利于心肌炎的确诊。
In this paper, 120 cases of myocarditis in patients with serum antibodies, myocardial antibodies and enzymatic changes were detected, of which CoxsackieB virus positive rate was 33.33%; myocardial antibody positive rate was 33.33%; with enzyme Change accounted for 46.67%. Three of the three indicators were positive in 30 cases, accounting for 25%. We also tested 100 cases of normal controls (blood donors) serum, the false positive rates were 2% CoxsackieB virus antibody; myocardial antibody 1%, 6% of enzyme changes. Three indicators of myocarditis patients were significantly higher than the normal control group, statistically significant difference (P <0.01). The results suggest that simultaneous detection of three indicators is conducive to the diagnosis of myocarditis.