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目的探讨急性病毒性心肌炎的临床治疗方法。方法对16例心肌炎患者经过治疗观察其疗效及转归。结果16例患者11例痊愈。1例经激素治疗7d后恢复窦律3d,再次发生Ⅰ度房室传导阻滞,考虑可能是激素应用不足;1例为缓慢性心律失常;1例经临时起搏、激素治疗后度过急性期恢复窦律;1例在临时起搏器植入后2d发生室颤死亡;1例经激素、抗病毒及改善心肌代谢治疗后无好转行永久起搏器治疗,1例于入院10h后出现阿-斯综合征死亡。结论急性病毒性心肌炎经积极、正确、及时的治疗可降低死亡率及并发症的发生。
Objective To investigate the clinical treatment of acute viral myocarditis. Methods 16 cases of myocarditis patients after treatment to observe its efficacy and outcome. Results 16 patients recovered in 11 cases. 1 case of hormone therapy after 7d to restore sinus rhythm 3d, re-occurrence of Ⅰ degree atrioventricular block, consider the hormone may be insufficient; 1 case of bradyarrhythmia; 1 case of temporary pacing, One case of ventricular fibrillation died 2 days after implantation of temporary pacemaker; one case had no improvement of permanent pacemaker treatment after hormone, anti-virus and myocardial metabolism improvement, and one case appeared after 10 hours of admission As-Syndrome death. Conclusion The positive, correct and timely treatment of acute viral myocarditis can reduce the mortality and complications.