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1、心肌炎诊断问题(Myocarditis,diagnosis,problem)Fromtheprovincialdoctortrainingcoursedata,thespeakeristhefirstclinicalschoolofChinaMedicalUniversity:ZhangQianzhongMyocarditisismorecommoninpediatrics,andhasbecomeamajorchildhoodacquiredcardiovasculardiseaseinchildhood・Althoughthediagnosticcriteriain1
2、978nineprovincesandcitieshavesetupacooperativegroupofmyocarditisinchildrenwithviralmyocarditis,andin1981,1984,1994,and1999hasbeenrevisedmanytimes,butinthepracticalwork,thediagnosisandtreatmentofmyocarditisinchildrenhasalotofproblemsneedtobefurtherclarifiedandsomeunderstandingofunity,inord
3、ertocontinueimprovethelevelofdiagnosisandtreatmentofmyocarditisinchildren.CliniceddiagnosisofinfantilemyocarditisAtpresent,thediagnosisofinfantilemyocarditisstillbelongstotheclinicaldiagnosisinourcountry,butitlacksthehighlysensitiveandspecificexperimentaldiagnosticcriteria・Atpresent,manyp
4、ediatriciansoftendiagnosemyocarditisaccordingtothefollowingpoints:(1)therecenthistoryofrespiratorytractinfectionorintestinalinfectioninchildren;⑵consciousofchesttightness,shortnessofbreath,discomfortintheprecordialarea,fatigue,head,fanandothersymptoms;(3)laboratorytestsshowedthatoneormore
5、cardiacenzymesincreased;(3)ECGhassinustachycardia,prematurebeatorconductionblock.Infact,theabovepointsarelackofspecificity,andtherearemanyinfluencingfactors・Thesechangesarenotonlypresentinmyocarditis,butalsoinsomeothercases,whichshouldbeanalyzedinaspecificway.Otherwise,somecasesofmyocardi
6、tiswhicharenotmyocarditishavebeendiagnosedandtreated.Thediagnosticstandardofmyocarditisispartlyloose.Itisauniversaltendencyinbedinrecentyears(1)itisanimportantstepforthediagnosisofmyocarditistocorrectlyrecognizethemyocardialenzymes,tochangethediagnosticvalueofmyocarditis,andtodeterminewhe
7、therornotthereismyocardialdamage・Inasense,thepresenceofmyocardialdamageisareliablebasisforthediagnosisofmyocarditis・InthecurrentdiagnosticcriteriaofpediatricviralmyocarditisinChina,itissuggestedthatthebiochemicalindexesofmyocardialinjuryareimportant・SincetwentiethCe
