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目的:总结急性重症心肌炎(AFM)的临床特征与治疗策略。方法:对我院2005-08-2013-02收治的30例AFM患者的临床资料进行回顾性分析。结果:30例患者中,10例治愈,14例好转,6例死亡。6例急性期死亡患者均在入院后48h内死亡,并伴有心源性休克。结论:AFM的早期诊断和治疗极具挑战性。中老年患者心电图酷似心肌梗死样改变,极易误诊,超声心动图在纠正误诊中具有重要价值。早期冠状动脉造影同样十分重要。一旦确诊,应积极采取综合治疗,及时给予机械辅助治疗将显著改善预后。
Objective: To summarize the clinical features and treatment strategies of acute severe myocarditis (AFM). Methods: The clinical data of 30 AFM patients admitted to our hospital from August 2005 to August 2013 were retrospectively analyzed. Results: Of the 30 patients, 10 were cured, 14 improved and 6 died. Six patients died of acute phase within 48h after admission died, accompanied by cardiogenic shock. Conclusion: Early diagnosis and treatment of AFM is very challenging. ECG in elderly patients resembles myocardial infarction-like changes, easily misdiagnosed, echocardiography in the correction of misdiagnosis has important value. Early coronary angiography is also very important. Once diagnosed, should be actively taken comprehensive treatment, promptly given mechanical adjuvant therapy will significantly improve the prognosis.