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病毒性心肌炎是否应用皮质激素治疗,目前尚有争议。本文就作者近年来应用皮质激素治疗重症病毒性心肌炎18例的体会简述如后。 临床资料 本组18例,其中男10例,女8例。年龄:17～20岁2例,20～30岁10例,30～45岁6例。诊断标准按1978年全国九省市儿童病毒性心肌炎诊断参考标准(草案),以突发性泵衰竭或严重心律失常为主者列入重症病毒性心肌炎范畴,病程最长1月,最短10天。
Viral myocarditis whether the application of corticosteroids, there is still controversial. In this paper, the author in recent years, the application of corticosteroids in the treatment of severe viral myocarditis in 18 cases described later. Clinical data 18 patients in this group, including 10 males and 8 females. Age: 2 cases of 17 to 20 years old, 10 cases of 20 to 30 years old, 6 cases of 30 to 45 years old. Diagnostic criteria by 1978 provinces and municipalities in nine provinces of children with viral myocarditis diagnostic reference standard (draft), sudden pump failure or severe arrhythmia were included in the scope of severe viral myocarditis, the longest duration of January, the shortest 10 days .