摘要
目的总结急性重症心肌炎的不同临床表现、治疗及转归。方法收集1995年1月～2OO7年12月临床诊断的急性重症病毒性心肌炎42例,其中男20例,女22例,年龄16～70岁。对急性重症病毒性心肌炎的发病情况、临床表现、实验室检查,治疗预后进行临床分析。结果本组治愈23例,好转12例,死亡7例。7例急性期死亡患者,死亡时间在起病72小时内,均伴有心源性休克。结论急性重症病毒性心肌炎临床表现多样,预后欠佳,早期伴有心源性休克病死率高,应及早诊断及时采取综合性措施积极治疗。早期诊断、及时应用大剂量肾上腺皮质激素及给予急诊起搏器、主动脉内球囊反搏等处理,将会取得较好的预后。
Objective To investigate the clinical characteristic and therapy and prognosis of patient with serious acute viral myocarditis. Methods 42 patients hospitalized with serious acute viral myoearditis during 1996-2007 were included, male in 20 ,female in 22, age from 17 to 70 years old,the clinical course and characteristics in all patients were analyzed. Results Among 42 cases in this group,23 cases were cured,12 cases were improved and 7 cases dead. Among 7 cases died at acute stage,the death time inside 72 hours, all accompanied cardiogenic shock. Conclusion The prognosis of severe viral myocarditis was poor,especially accompanied cardiogenic shock. Therefore the early diagnosis should be made so as to take integrated measures to treat it positively,including glucocorticoid, pacemaker and intra-aortic ballon counterpulsation.
出处
《中国现代医药杂志》
2008年第10期19-21,共3页
Modern Medicine Journal of China
