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近年来,病毒性心肌炎发病增多,已成为危害健康的常见心脏疾病。为提高对本病的认识,以期达到更好的防治目的,现将我科1978～1984年10月间确诊的105例报导如下,其诊断标准为:1.出现心肌炎症状和体征之前1～4周有上呼吸道感染史、肠道感染史或有明确的其它病毒疾病感染史,如发热、乏力、头痛、肌痛、咳嗽、腹泻、疱疹等,并除外细菌、原虫、霉菌等感染史。2.既往无心脏病史而突然出现胸痛、心悸、胸闷、头晕(昏)、心衰、血压下降、心源性休克或心脏扩大。排除风湿性心肌炎、感染性心肌炎、药物引起的中毒性心肌炎,功能性β受体兴奋综合症。3.不能用明确原因的器质性心脏病解释的心脏肥大,各种心律失常,第一心音减弱,心尖区Ⅱ级以上收缩期杂音,三音心律或第四心音.4.心电图有下列之一者:①各种心律失常;
In recent years, the incidence of viral myocarditis increased, has become a common health hazard of heart disease. In order to improve the understanding of this disease, in order to achieve a better prevention and treatment, now our department from October 1978 to October 1984 confirmed 105 cases reported as follows, the diagnostic criteria are: 1 before symptoms and signs of myocarditis 1 ~ 4 Weeks of upper respiratory tract infection, history of intestinal infection or other clear history of other viral infections, such as fever, fatigue, headache, myalgia, cough, diarrhea, herpes and so on, with the exception of bacteria, protozoa, mold and other infections. 2. No history of heart disease and sudden chest pain, palpitations, chest tightness, dizziness (fainting), heart failure, blood pressure, cardiogenic shock or heart enlargement. Exclusion of rheumatic myocarditis, infectious myocarditis, drug-induced toxic myocarditis, functional beta receptor excitability syndrome. 3. Can not explain the cause of structural heart disease with cardiac hypertrophy, a variety of arrhythmias, the first heart sound weakened, apex systolic grade Ⅱ or more, the third heart rhythm or fourth heart sound.4 ECG have the following One of: ① a variety of arrhythmias;