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病毒性心肌炎近年来发病增多,为提高对本病认识,以期达到合理治疗目的,现将我院1976～1983年5月间,确诊的114例报道如下: 一般资料:114例中男66例,女48例。其中婴幼儿21例,学龄前16例,学龄儿77例。本组的临床表现轻重悬殊,表现不一。其年长儿能反应出心悸、气短、胸闷或心前区不适、乏力、多汗等。心尖区心音低钝及心律不齐为多见,分别占60％、50％,伴有轻度贫血14例(12％),极重者有心源性休克2例(1.7％),心脑缺血综合征、心肌心包炎各占3例(2.6％),充血性心衰14例(12％)。实验室检查:白细胞大部分偏高或正常,谷草转氨酶22例中有12例增高,心电图的改变是多种多样的,以各种早搏、ST-T改变为最常见,114例中各有45例(占40％),
In recent years, the incidence of viral myocarditis increased, in order to improve understanding of the disease, in order to achieve the purpose of rational treatment, now our hospital 1976 ~ May 1983, confirmed 114 cases are reported as follows: General information: 114 cases of male 66 cases, Female 48 cases. Including 21 cases of infants and young children, 16 cases of pre-school age, school-age children 77 cases. The clinical manifestations of this group of great disparity, the performance varies. The older children can respond to heart palpitations, shortness of breath, chest tightness or precordial discomfort, fatigue, sweating and so on. Apical low heart rate blunted and arrhythmia are more common, accounting for 60%, 50%, with mild anemia in 14 cases (12%), severe cases of cardiogenic shock in 2 cases (1.7%), lack of heart and brain Blood syndrome, myocardial pericarditis in 3 cases (2.6%), congestive heart failure in 14 cases (12%). Laboratory tests: most of the high or normal white blood cells, aspartate aminotransferase in 22 cases increased in 12 cases, changes in ECG is diverse, with a variety of premature beats, ST-T changes to the most common, 114 cases of 45 Example (40%),