摘要
目的探讨酷似急性心肌梗死的急性重症病毒性心肌炎患者的临床特点和治疗方法，以提高急性重症病毒性心肌炎的早期诊断率和治愈率。方法选取2010年6月至2012年6月佛山市禅城区中心医院收治的酷似急性心肌梗死的急性重症病毒性心肌炎患者36例与急性心肌梗死患者40例，收集患者临床信息进行对比分析；并评价急性重症病毒性心肌炎的治疗效果。结果急性重症病毒性心肌炎和急性心肌梗死患者在感染史、发热、胸痛、阿一斯综合症发生率以及CK峰值、CK—MB峰值、房室传导阻滞、异常Q波上存在差异，具有统计学意义（P〈0．05）。治疗后，患者心功能得到显著提高，差异具有统计学意义（P〈0．05）。结论酷似急性心肌梗死的急性重症病毒性心肌炎可通过心电图表现、心肌酶检查结果与急性心肌梗死进行鉴别。早诊断、早治疗有助于提高疗效。
Objective To develop the clinical features and treatment of acute myocardial infarction- like-viral myocarditis, raising the early diagnose rate and cure rate of this disease. Methods Thirty six pa- tients with acute myocardial irrfarction-like-viral myocarditis and 40 with acute myocardial infarction were se- lected from people who visited Central hospital of Foshan Chancheng during June 2010 to June 2012. Pa- tients＇ clinical features were collected and compared. Curative effect of acute myocardial infarction-like-viral myocarditis was evaluated. Results There were significant difference of clinical features between patients with acute myocardial infarction-like-viral myoearditis and acute myocardial infarction in the following as- pects： the present of infecting with particular virus＇ history, fever, chest pain, adams-stokes （P 〈 0. 05 ）. Besides, the peak of CK and peak of CK-MB were higher in patients with myocardial enzyme of acute myo- cardial infarction-like-viral myocarditis than that in patients with acute myocardial infarction（ P 〈 0. 05 ）. In addition, the presents of atrioventricular block and abnormal Q wave were different between the two groups（ P 〈 0. 05 ）. After treatment, the cardiac function improved significantly （ P 〈 0. 05 ）. Conclusions Acute myocardial infarction-like-viral myocarditis could be distinguished with acute myocardial infarction by electro- cardiogram and testing results of myocardial enzyme. Early diagnose and early cure are helpful to improve the curative effect.
出处
《国际病毒学杂志》
2013年第3期137-140,共4页
International Journal of Virology
关键词
急性心肌梗死
病毒性心肌炎
临床特点
Acute myocardial infarction
Viral myocarditis
Clinical features
