本文对28例临床诊断为重症病毒性心肌炎患儿进行了1月～16年的随访。28例中痊愈11例,恢复迁延11例,死亡4例,2例在随访中诊断为心肌病。痊愈及恢复迁延共占78.6％。提示重症病毒性心肌炎总的预后是好的。对抗心衰治疗反应不佳,有明显心脏扩大,反复心功能不全者预后差。早期足量应用激素有利于预后,影响预后的因素是多方面的。部分心肌炎可转变为扩张型心肌病。 This article 28 cases of clinical diagnosis of severe viral myocarditis were January to 16 years of follow-up. Among the 28 cases, 11 cases were cured, 11 cases were restored and 4 cases died, and 2 cases were diagnosed as cardiomyopathy at follow-up. A total of 78.6% were cured and resumed. Suggesting that the overall prognosis of severe viral myocarditis is good. Fight against heart failure treatment is not good, there is a clear heart enlargement, recurrent cardiac dysfunction, poor prognosis. Early enough hormone application is good prognosis, prognosis factors are many. Some myocarditis can be converted to dilated cardiomyopathy.