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目的总结急性重症病毒性心肌炎的诊治经验。方法对2002—2005年苏州大学附属第一医院心内科收治的15例急性重症病毒性心肌炎的临床资料进行回顾性分析。结果15例中6例出现急性左心衰,6例Ⅲ度房室传导阻滞(AVB),5例出现心源性休克,其中3例死亡,4例出现阿-斯综合征。最终治愈9例,好转3例,死亡3例。结论急性重症病毒性心肌炎病情凶险,病死率高,须及时诊断和采取有效的治疗措施,对有心源性休克者予主动脉内球囊反搏(IABP)治疗可能改善预后。
Objective To summarize the experience of diagnosis and treatment of acute severe viral myocarditis. Methods The clinical data of 15 cases of acute severe viral myocarditis admitted to the First Affiliated Hospital of Soochow University from 2002 to 2005 were analyzed retrospectively. Results In the 15 cases, acute left heart failure occurred in 6 cases, AVB in 6 cases, and cardiogenic shock in 5 cases, of which 3 died and 4 cases had As-Syndrome. The final cure in 9 cases, improved in 3 cases, 3 died. Conclusions Acute severe viral myocarditis is dangerous and has a high mortality rate. It is necessary to diagnose timely and take effective treatment measures. The treatment of patients with cardiogenic shock by intra-aortic balloon pump (IABP) may improve the prognosis.