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[病毒性心肌炎的远期预后]

[Late prognosis of viral myocarditis].

作者信息

Li J

出版信息

Zhonghua Yi Xue Za Zhi. 1990 Mar;70(3):121-4, 10.

PMID:2163732
Abstract

85 cases of virologically proved viral myocarditis were followed up for 96.45 +/- 23.7 months for a better understanding of the late prognosis of this disease. Among these cases, 63 (74.1%) were cured, 14 (16.5%) remained with sequelae, 8 (3.5%) became chronic and 5 (5.9%) of the patients died. Most of the abnormal findings, i.e. physical signs, x-ray, ECG and UCG changes, originally existing on admission of the survived patients disappeared. The clinical features of the chronic cases resemble those of cardiomyopathy. The main causes of death were heart failure and sudden death. In order to reduce mortality, sequelae and chronicity, the importance of early virological examination, early clinical diagnosis and early and persistent treatment are stressed.

摘要

对85例经病毒学证实的病毒性心肌炎患者进行了96.45±23.7个月的随访,以便更好地了解该疾病的远期预后。在这些病例中,63例(74.1%)治愈,14例(16.5%)留有后遗症,8例(3.5%)转为慢性,5例(5.9%)患者死亡。大多数存活患者入院时最初存在的异常表现,即体征、X线、心电图和超声心动图改变均消失。慢性病例的临床特征类似于心肌病。死亡的主要原因是心力衰竭和猝死。为降低死亡率、后遗症和慢性化的发生率,强调了早期病毒学检查、早期临床诊断以及早期持续治疗的重要性。

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