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急性病毒性心肌炎的病理资料国内少见报道,最近我院尸检急死,猝死4例,其中1 例临床诊断为急性病毒性心肌炎,其余3例未被诊断出,现报告如下。临床资料临床资料(表1) 病理解剖情况病理解剖情况(表2) 讨论近年由于病毒分离技术和血清学检查的进展,以及电镜的使用,急性病毒性心肌炎的诊断,许多学者以病原学、临床表现、组织改变特点作为依据,并制定了诊断标准。我国九省(市)小儿病毒性心肌炎协作组于1979年制定了“小儿病毒性心肌炎诊断标准”,此标准也适用于成人诊断参考。国内临床病例报告不少,部分呈暴发性,病情凶险,死亡率高,但有关病原学、组织学的资料却不多见,诊断依据尚欠完整。
Acute viral myocarditis pathological data rarely seen in our country recently hospital autopsy acute death, sudden death in 4 cases, of which 1 case of clinical diagnosis of acute viral myocarditis, the remaining 3 cases have not been diagnosed, are as follows. (Table 1) Pathological anatomy of the situation (Table 2) Discussion In recent years due to advances in virus isolation techniques and serological tests, and the use of electron microscopy, the diagnosis of acute viral myocarditis, many scholars with etiology, clinical Performance, organizational change as a basis for the characteristics, and the development of diagnostic criteria. China’s nine provinces (municipalities) Pediatric Viral myocarditis collaborative group in 1979 developed a “diagnostic criteria for viral myocarditis in children,” this standard is also applicable to adult diagnostic reference. There are a lot of reports of clinical cases in China, with some cases being outbreaks, dangerous cases and high mortality rates. However, the information on etiology and histology is rare, and the diagnosis is still incomplete.