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特发性心肌炎是一种病因未明的心肌炎性疾病,虽进行了广泛的临床和病理学研究,仍缺乏完善的临床病理诊断标准。1984年Dallas会议制定了心肌炎的组织学诊断统一标准(即Dallas标准)。但临床与病理的相关性仍不完全一致,免疫抑制剂疗效评价标准亦未统一。作者根据Dallas标准确定为心肌炎的患者,进行临床表现和组织学相结合的新的心肌炎的临床病理分型,以期为临床更好地分析患者的发病过程和评估预后,以及是否选择免疫抑制剂治疗提供依据.
Idiopathic myocarditis is a myocarditis disease of unknown etiology, although a wide range of clinical and pathological studies, the lack of perfect clinical and pathological diagnostic criteria. 1984 Dallas conference developed a unified standard of histological diagnosis of myocarditis (Dallas standard). However, the clinical and pathological correlation is still not exactly the same, immunosuppressive efficacy evaluation criteria are not uniform. The authors identified patients with myocarditis based on the Dallas criteria for the clinical pathology of new myocarditis combined with clinical presentation and histology in order to better analyze the patient’s clinical course and assess the prognosis for clinical use and whether to choose immunosuppressive therapy Provide evidence.