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长期以来,临床上绝大多数所谓病毒性心肌炎病例,并非依据心内膜活检及病毒分离等检查进行诊断,而主要是依据临床资料而推理的。此类病例,仍属不明原因心肌炎或特发性心肌炎(简称心肌炎)之列。心肌炎和原发性心肌病(简称心肌病),两者是一个病的不同阶段,还是两个不同的疾病,各家虽作了不少研究,但从疾病的定义、命名到临床诊断,至今仍有不少模糊及混乱之处。两者的鉴别,尤其是心肌炎的慢性期与心肌病更存在着一定困难。为此,本文将两者统称为原发性心肌病变。现就我院8年来收治的75例原发性心肌病变,进行分析和讨论。
For a long time, the vast majority of the so-called viral myocarditis in clinical cases, not based on endocardial biopsy and virus isolation and other tests for diagnosis, but mainly based on clinical data and reasoning. Such cases, is still unknown cause myocarditis or idiopathic myocarditis (referred to as myocarditis) of the list. Myocarditis and primary cardiomyopathy (referred to as cardiomyopathy), the two are different stages of a disease, or two different diseases, although many studies have made, but the definition of the disease, the name to the clinical diagnosis, since There are still many ambiguities and confusion. The identification of the two, especially in chronic myocarditis and cardiomyopathy, there are still some difficulties. To this end, this article will be both collectively referred to as primary cardiomyopathy. 75 cases of primary myocardial lesions admitted to our hospital for 8 years are analyzed and discussed.