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Peters Ns,Poole-Wilson PA:J R Soc Med1991;84(1):1(英文)心肌炎是由感染、化学或物理因子通过直接损害、毒素或免疫反应所引起的心肌炎症。它至今仍是一种有争议的疾病,争论的内容包括定义、诊断和治疗等。本病是没有特殊临床表现而突然发生充血性心力衰竭的重要原因之一,自采用心腔镜心肌活检以来,其确诊已广泛应用组织学和Dallas分类方法。但尚未被普遍采用和公认。按此标准,心肌炎是一种伴有毗邻细胞坏死和/或变性及冠状动脉疾病密切相关的不典型缺血性损害的心肌的炎症浸润过程。发病率不清,可能与本病多数以亚临床经过有关。在常规尸体解剖中发现占10%以上。
Peters Ns, Poole-Wilson PA: J R Soc Med 1991; 84 (1): 1 Myocarditis is a myocardial inflammation caused by direct damage, toxins or immune responses by infection, chemical or physical factors. It is still a controversial disease to date, and the controversy includes definitions, diagnoses and treatments. This disease is one of the important causes of sudden congestive heart failure without special clinical manifestations. Since the use of endocardial myocardial biopsy, its diagnosis has been widely applied histology and Dallas classification. But it has not been widely adopted and recognized. According to this standard, myocarditis is an inflamed infiltration of myocardium accompanied by atypical ischemic damage closely related to adjacent cell necrosis and / or degeneration and coronary artery disease. The incidence is unclear, most of the disease may be related to subclinical. In conventional autopsy found more than 10%.