心肌炎诊断问题（Myocarditis, diagnosis, problem）.docVIP

心肌炎诊断问题（Myocarditis, diagnosis, problem） From the provincial doctor training course data, the speaker is the first clinical school of China Medical University: Zhang Qianzhong Myocarditis is more common in pediatrics, and has become a major childhood acquired cardiovascular disease in childhood. Although the diagnostic criteria in 1978 nine provinces and cities have set up a cooperative group of myocarditis in children with viral myocarditis, and in 1981, 1984, 1994, and 1999 has been revised many times, but in the practical work, the diagnosis and treatment of myocarditis in children has a lot of problems need to be further clarified and some understanding of unity, in order to continue improve the level of diagnosis and treatment of myocarditis in children. Clinical diagnosis of infantile myocarditis At present, the diagnosis of infantile myocarditis still belongs to the clinical diagnosis in our country, but it lacks the highly sensitive and specific experimental diagnostic criteria. At present, many pediatricians often diagnose myocarditis according to the following points: (1) the recent history of respiratory tract infection or intestinal infection in children; (2) conscious of chest tightness, shortness of breath, discomfort in the precordial area, fatigue, head, fan and other symptoms; (3) laboratory tests showed that one or more cardiac enzymes increased; (4) ECG has sinus tachycardia, premature beat or conduction block. In fact, the above points are lack of specificity, and there are many influencing factors. These changes are not only present in myocarditis, but also in some other cases, which should be analyzed in a specific way. Otherwise, some cases of myocarditis which are not myocarditis have been diagnosed and treated. The diagnostic standard of myocarditis is partly loose. It is a universal tendency in bed in recent years (1) it is an important step for the diagnosis of myocarditis to correctly recognize the myocardial enzymes, to change the diagno