儿科心血管系统-viralamp;nbsp;myocarditis英文PPT课件.pptVIP

精品课件资料 精品课件资料 2020年10月2日 * Viral Myocarditis 第一课件网站 精品课件资料 2020年10月2日 * Introduction Myocarditis: Myocarditis is defined as inflammatory changes in the heart muscle and is characterized by myocyte necrosis .There are all kinds of causes and viral infections are the most common cause. 精品课件资料 2020年10月2日 * Etiologies and Pathogenesy Virus infection: The most common causes of myocarditis are coxsackie A and B, echovirus,adenovirus and cytomegalovirus. Directly damage Auto-immunoreaction 精品课件资料 2020年10月2日 * Clinical manifestation Symptoms: The presentation depends on the patient’s age and the acute or chronic process . fatigue, pale, chest malaise, myalgias, bellyache etc. Severe case: CHF, severe cardiac arrhythmia, cardiogenic shock, sudden death etc. Signs: tachycardia, cardiac dilatation, heart sounds may be muffled and distant, gallop, signs of CHF and signs of cardiogenic shock. 精品课件资料 2020年10月2日 * Cardiac enzyme levels: CPK, LDH, CK-MB, cTnT、cTnI Electrocardiogram: cardiac arrhythmia—premature beat, tachycardia, AV block, ST-T Chest radiography: large cardiac sihouette, pulmonary venous congestion, edema Auxiliary Examination 精品课件资料 2020年10月2日 * Auxiliary Examination Echocardiography: cardiomegaly, ventricular disfunction, heart function↓ pericardial effusion ect. Virology examination: viral isolation, specific antibody, PCR identification of a viral infection, myocardial biopsy etc. 精品课件资料 2020年10月2日 * Diagnosis Diagnosis may require blood tests, a chest X-ray, electrocardiogram or radionuclide angiocardiogram, and, in rare cases, biopsy of a tissue sample from the heart muscle. 精品课件资料 2020年10月2日 * Diagnosis Clinical Findings 1. heart disfunction, cardiogenic shock or cardio-cerebral syndrome 2.cardiac dilatation ( chest radiography, echocardiography ) 3. change of electrocardiogram 4. CK-MB↑or cTnT(+)、cTnI(+) 精品课件资料 2020年10月2日 * 诊断 心电图改变：以R波为主的2个或2个以上主要导联的ST-T改变持续4天以上伴动态变化；窦房、房室传导阻滞，完全右或左束支传导阻滞；成联律、多源、多型、