目的：探讨急性心肌梗塞样病毒性心肌炎的诊断、治疗及预后．方法：对近年来宁波审李惠利院收治１２例患者进行系统分析及随访．结果：１２例中，早期死亡１例，痊愈９例，１例前间壁Ｑ波及心尖部节段运动异常持续存在，另１例Ⅲ°ＡＶＢ无好转．结论：该型心肌炎虽易误诊，如临床医师对本病有足够的重视，能早期明确诊断，及时给予大剂量皮质激素等针对性抢救措施，可获得满意疗效． Objective: To investigate the diagnosis, treatment and prognosis of acute myocardial infarction-like viral myocarditis. Methods: In recent years, Ningbo trial Li Wuli hospital received 12 patients for systematic analysis and follow-up. Results: Among the 12 cases, 1 died early and 9 recovered. The anterior wall Q wave and apical segment abnormalities persisted, while the other 1 patient had no improvement in Ⅲ ° AVB. Conclusion: Although this type of myocarditis is easy to be misdiagnosed, if clinicians pay enough attention to this disease, it can give early diagnosis and promptly give high-dose corticosteroids and other targeted rescue measures to get satisfactory curative effect.