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目的探讨2007年珠海流行的登革热并发病毒性心肌炎的临床特点。方法对2007年8月至10月间中山大学附属第五医院收治的125例登革热住院患者的临床症状、心肌酶及心电图特征进行分析。结果本次流行的登革热患者并发病毒性心肌炎者24例,占19.2%,其中10例伴有心律失常,无心功能不全者,均治愈出院。结论2007年珠海流行的登革热并发病毒性心肌炎症状较轻,临床转归较好,但发病率较高;对登革热患者进行心电图及心肌酶检测是非常重要的。
Objective To investigate the clinical characteristics of dengue fever complicated with viral myocarditis in Zhuhai in 2007. Methods Clinical symptoms, myocardial enzymes and electrocardiographic features of 125 patients admitted to the Fifth Affiliated Hospital of Sun Yat-sen University from August 2007 to October 2007 were analyzed. Results The epidemic of dengue fever in patients with viral myocarditis in 24 cases, accounting for 19.2%, of which 10 cases with arrhythmia, no cardiac insufficiency, were cured. Conclusion The epidemic dengue fever complicated with viral myocarditis in Zhuhai in 2007 is mild with good clinical outcome but high incidence. It is very important to detect ECG and myocardial enzyme in dengue fever patients.