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云南省宾川县鸡足山祝圣寺于1982年8月11日至22日突然爆发一起急性心肌炎流行,共发病20例,猝死4例。主要临床特征为胸闷、气急、心悸、呼吸困难,头痛、头晕和上腹不适。体征有心音低钝、X光及心电图明显改变等。尸检(1例)心脏有典型心肌炎病变。为了明确病因,采集了急性期患者血液和肛拭子标本进行病毒分离研究,同时还采集了急性期和恢复期患者血清进行中和试验,结果报告如下。
Zhuji St., Jizu Mountain, Binchuan County, Yunnan Province, suddenly broke out with an epidemic of acute myocarditis on August 11-22, 1982, with a total of 20 cases of sudden death and 4 cases of sudden death. The main clinical features are chest tightness, shortness of breath, palpitations, dyspnea, headache, dizziness and abdominal discomfort. Signs low heart sound blunt, X-ray and ECG significantly changed. Autopsy (one case) of the heart with typical myocarditis lesions. In order to clarify the cause of the disease, blood samples collected from patients with acute and swollen anus swab for virus isolation studies, but also collected from patients with acute and convalescent sera for neutralization test results are reported below.