克山病在临床上不容易和一些心肌炎心、肌病鉴别。而在病理上能不能互相区分,常为人们所关注。有的作者认为,“没有特异的病变足以区分克山病与常见的心肌炎及其它心肌病”;“自克山病发现以来,未见在同一时间、同一病区内有关于其它心肌疾患的报道。从而推断克山病与非病区的心肌炎、心肌病可能是一回事,只是发生在非病区就 Keshan disease is not easy in clinical and some myocardial myocarditis, myopathy identification. In the pathology can distinguish each other, often for people’s attention. Some authors believe that “there is no specific enough to distinguish between Keshan disease and common myocarditis and other cardiomyopathy”; "Since the discovery of Keshan disease, there was no report on other myocardial diseases in the same ward at the same time . Inferred Keshan disease and non-ward myocarditis, cardiomyopathy may be the same thing, but occurred in the non-ward