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[经心内膜心肌活检诊断心肌炎]

[Diagnosis of myocarditis with endomyocardial biopsy].

作者信息

Li Z M, Xu Y Y, Zhu G Y

机构信息

Division of Gardiology, First Hospital, Beijing Medical University.

出版信息

Zhonghua Nei Ke Za Zhi. 1990 Mar;29(3):135-7, 188.

PMID:2209239
Abstract

Endomyocardial biopsy (EMB) was performed in 24 cases suspected of having myocarditis and 42 cases with cardiac symptoms and signs of unknown etiology. There was an obvious correlation between the clinical manifestations and the pathological findings in cases suspected of having myocarditis (r = 0.5296, P less than 0.005). The ratio of correspondence was 78.8%. It is shown that EMB is more sensitive than 201TI myocardial imaging in diagnosing myocarditis and serial EMB can follow its clinical process closely. Moreover, EMB can discriminate myocarditis from myocardiopathy.

摘要

对24例疑似心肌炎患者和42例病因不明的有心脏症状及体征的患者进行了心内膜心肌活检(EMB)。疑似心肌炎患者的临床表现与病理结果之间存在明显相关性(r = 0.5296,P<0.005)。符合率为78.8%。结果表明,EMB在诊断心肌炎方面比201铊心肌显像更敏感,连续进行EMB可密切跟踪其临床过程。此外,EMB可区分心肌炎和心肌病。

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