论文部分内容阅读
疟疾并发心肌炎,临床尚属少见、我院自1960年7月～1982年10月,23年来共收治12例,报道如下: 一、诊断依据 (1)有周期性的或不规则的畏寒、高热、出汗的发作,但血片中疟原虫阳性者;(2)疟疾病程中出现心肌炎的临床表现如心悸、心前区隐痛或紧压感、重症有气急、紫绀、端坐呼吸及浮肿等,心率增快与体温不相称,第一心音低钝、奔马律、频繁早搏及心界增大等;(3)心电图变化:有ST-T波变化;异位心律;传导阻滞,Q-T间期延长;(4)过去均无心脏疾患病史。
Malaria complicated with myocarditis, clinical is rare, our hospital since July 1960 ~ October 1982, 23 years, a total of 12 cases were treated, reported as follows: First, the diagnosis is based on (1) a periodic or irregular chills, (2) the clinical manifestations of myocarditis in the course of malaria, such as palpitation, prehypochondriac pain or tightness, severe acute qi and cyanosis, sitting and breathing and edema And so on, the heart rate is not commensurate with the body temperature, the first heart sound low blunt, running gallop, frequent premature beats and heart increased; (3) ECG changes: ST-T wave changes; ectopic rhythm; conduction block , QT interval prolongation; (4) no history of heart disease in the past.