郭芙蓉,黎明江,李莎,付金容.病毒性心肌炎的临床分析[J].内科急危重症杂志,2016,22(5):
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| DOI： |
| 中文关键词: 急性病毒性心肌炎、诊断方法、治疗 |
| 英文关键词:Acute virus myocarditis,Diagnostic techniques,Therapy |
| 基金项目:国家自然科学基金项目（面上项目，重点项目，重大项目） |
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| 中文摘要: |
| 目的:通过对77例病毒性心肌炎患者的临床资料进行分析，总结了近三年病毒性心肌炎的不同临床表现及相关诊疗方法。 方法:收集本院2013年1月至2015年12月收治的急性病毒性心肌炎77例，分析其临床表现、相关检查结果、诊治经过、住院天数、治疗结局。结果:女性发病较多（58.44%），发病年龄主要集中在18~59岁（83.1%），前驱症状以上呼吸道感染多见，首发症状以心慌、胸闷、胸痛多见。对实验室检查结果分析发现中性粒细胞/淋巴细胞比值(NLR)、CTnI、NTproBNP与住院天数明显相关。结论:急性病毒性心肌炎临床表现多样，注重患者就诊时的体征及客观指标是提高诊断率及改善预后的主要方法。 |
| 英文摘要: |
| Objective: Seventy-seven patients with virus myocarditis were analyzed, including clinical sign, echocardiography and serum enzyme level. Summarized the different clinical manifestations, diagnosis and treatment of virus myocarditis in recent three years. Methods: Seventy-seven patients hospitalized with acute virus myocarditis (AVM)from January 2013 to December 2016 were included, and the clinical manifestations, correlate test results, diagnostic and therapeutic process and prognosis of the disease were analyzed. The clinical course and characteristics in all patients were analyzed. Results: The number of female patients is more than male(58.44% to 41.56%) and most patients were between 18 to 59 years old(83.1%), the most common premonitory symptoms was upper respiratory tract infections，and palpitation、chest stuffy and chest pain were the most common first symptoms . Neutrophils to lymphocyte ratio(NLR)，CTnI and NTproBNP have a relation to hospitalization days. Conclusion: Depend on the various clinical manifestations of AVM, the objective evidence of myocardial injury and the clinical sign are the most important clues to diagnose the disease and to improve the prognosis of AVM. |
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