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在克山病研究过程中,我们遇到一些急性坏死性咽峡炎、扁桃体炎病例。这些病例除有明显的局部感染灶外,心脏的症状、体征很突出,和急型、亚急型克山病有某些类似,尸检证实为感染性(或感染后)心肌炎。 关于咽峡炎、扁桃体炎并发急性非风湿性心肌炎,以往文献报导不多,儿童病例更少记载。鉴于这类心肌炎实际并不少见,需要与克山病及其它有关心肌病(心肌炎)鉴别,并且对心肌坏死的发病学研究有一定价值,故将我们所收集的11例尸检材料整理报告如下。
In Keshan disease research, we encountered some acute necrotizing angina, tonsillitis cases. In addition to the obvious local lesions in these cases, the symptoms and signs of the heart are prominent and some are similar to those of acute and subacute Keshan disease. Autopsies (or post-infection) myocarditis are confirmed by autopsy. About angina, tonsillitis complicated by acute non-rheumatic myocarditis, the previous literature reported little more records of children’s cases. Given the fact that this type of myocarditis is not uncommon and requires identification with Keshan disease and other cardiomyopathies (myocarditis), and is of some value in the pathogenesis of myocardial necrosis, the 11 autopsy materials we collected are reported below.