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本文着重对1978～1980年期间105例确诊为病毒性心肌炎的患儿(包括获得病毒学诊断的22例),通过临床系统随访观察并结合运动试验等检查,以了解疾病的转归及估计其预后。在105例中平均随访年限为3年8个月(3～6年者占80%),平均每人随访16.78次。结果:51例痊愈(48.67%);54例未愈,其中转入慢性期2例(1.9%),后遗症期46例(43.81%),再感染1例(0.95%),死亡5例(4.76%)。本组资料表明,急性期、恢复期就诊者多数痊愈,预后较好,慢性期就诊者预后较差。轻型痊愈率明显高于中、重型,而中重型的死亡率则明显高于轻型。作者认为通过临床随访、运动试验等可有助于考核心肌炎是否真正痊愈并估计预后及指导治疗。最后本文还着重讨论了本病的痊愈标准、“后遗症期”一些问题、影响转归的因素与主要死亡原因。
This article focuses on 105 cases of viral myocarditis diagnosed in 1978-1980 (including the acquisition of virological diagnosis of 22 cases), followed up by clinical observation and combined with motor tests and other tests to understand the prognosis of the disease and its estimated Prognosis. In 105 cases, the average follow-up period was 3 years and 8 months (80% in 3 to 6 years), with an average of 16.78 follow-ups per patient. Results: 51 cases recovered (48.67%), 54 cases did not heal, including 2 cases of chronic phase (1.9%), 46 cases of sequelae (43.81%), 1 case of retesting (0.95%) and 5 cases of death %). This group of data shows that the majority of acute and convalescent patients were cured, the prognosis is good, poor prognosis of patients with chronic disease. Light cure rate was significantly higher than the medium and heavy, while the medium and heavy mortality was significantly higher than the light. The authors believe that through clinical follow-up, exercise testing and other tests can help determine whether myocarditis really cure and prognosis and guide the treatment. Finally, this article also focuses on the standard of recovery of the disease, some problems of “sequelae”, the factors that affect the prognosis and the main causes of death.