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目的:探讨病毒性心肌炎的诊断、治疗及临床治疗效果。方法:以2007年1月至2009年12月期间本院收治的68例病毒性心肌炎患者为研究对象,通过病史、心电图、心肌酶谱、心脏彩超等检查,对疾病做出诊断,并给予卧床休息、杭病毒、保护心肌、抗心衰等综合处理措施,中西医结合治疗,观察患者的临床治疗效果。结果:本组68例患者,治愈53例,好转12例,死亡3例,死亡原因为:急性肺水肿2例,呼吸衰竭1例。随访2年,8例患者的心电图遗留有不同程度异常改变,发展为扩张型心肌病3例。结论:病毒性心肌炎大多发病较急且病情严重,需给予及时诊断和治疗。中西医综合治此病疗的临床效果良好,治愈率较高,死亡率较低,具有较高的临床应用价值。
Objective: To investigate the diagnosis, treatment and clinical treatment of viral myocarditis. Methods: A total of 68 patients with viral myocarditis admitted to our hospital from January 2007 to December 2009 were enrolled in the study. Their medical history, electrocardiogram, myocardial enzymes and echocardiography were used to diagnose the disease. Rest, Hangzhou virus, protect myocardium, anti-heart failure and other comprehensive treatment measures, combined treatment of traditional Chinese and Western medicine, observe the clinical effect of patients. Results: In this group of 68 patients, 53 cases were cured, 12 cases improved and 3 died. The causes of death were acute pulmonary edema in 2 cases and respiratory failure in 1 case. During the follow-up of 2 years, the electrocardiogram of 8 patients left with abnormal changes in varying degrees and developed into 3 cases of dilated cardiomyopathy. Conclusion: Most of the patients with viral myocarditis are in acute and serious condition and need timely diagnosis and treatment. Integrated Chinese and Western medicine treatment of this disease has a good clinical effect, a higher cure rate, lower mortality, with high clinical value.