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病毒性心肌炎(VMT)在临床上常见于中、青年,国内发病有逐渐增多趋势,而诊断主要依据临床症状及流行病史.病源学诊断尚有困难,而CPK及肌酸磷酸激酶同功酶(CPK-MB)检查国内已普遍开展, 本文就其对病毒性心肌炎诊断价值做一探讨.1 资料与方法1.1 一般资料 心肌炎组71例为我院1992年3月～1994年10月心内科门诊和住院确诊的患者,男37例,女34例,年龄14～49岁、平均31.89±5.59岁.心肌梗死组50例为同期住院确诊的患者,男28例,女22例,年龄52～73岁,平均62.8±9.63岁.正常对照组56例,为同期健康体检者,男31例,女25例,年龄25～68岁、平均54.32±8.32岁.均排除了高血压、冠心病、先心病、肝肾疾病及糖尿病等.1.2 检测方法 心肌炎组在出现临床症状1周左右.取清晨8点空腹静脉血、AMl组于胸痛后9～24小
Viral myocarditis (VMT) is clinically common in young people, the incidence of a gradual increase in the domestic trend, and the diagnosis is mainly based on clinical symptoms and epidemiological history of etiological diagnosis is still difficult, and CPK and creatine kinase kinase CPK-MB) has been widely carried out in the country, this article on the diagnosis of viral myocarditis to do a value.1 Materials and Methods 1.1 General Information 71 cases of myocarditis in our hospital from March 1992 to October 1994 Department of Cardiology Outpatient and The hospitalized patients, 37 males and 34 females, aged 14 to 49 years old, with an average of 31.89 ± 5.59 years.Myocardial infarction group of 50 patients diagnosed at the same period for the same period, 28 males and 22 females, aged 52 to 73 years , An average of 62.8 ± 9.63 years old.The control group of 56 cases, for the same period of health examination, 31 males and 25 females, aged 25 to 68 years, an average of 54.32 ± 8.32 years were excluded from hypertension, coronary heart disease, congenital heart disease , Liver and kidney disease and diabetes, etc. 1.2 Detection of myocarditis in the clinical symptoms of about 1 week take fasting venous blood at 8 am, AMl group 9 to 24 after chest pain