心肌炎的诊断与治疗

Diagnosis and treatment of myocarditis

摘要:

心肌炎是指心肌的局限性或弥漫性的炎性病变为主要表现的疾病.近年来随着对心肌炎动物模型实验研究及患者临床数据研究的不断深入,在心肌炎诊治方面出现了一些新进展.无创性心脏磁共振检查对心肌炎的的诊断有重大的价值,但不能替代心内膜心肌组织活检.心肌炎的治疗主要是对症辅助支持处理,主要为积极治疗休克、心力衰竭及心律失常等综合治疗,尤其是暴发性心肌炎患者的治疗.因目前缺乏大量的相关临床研究数据,对于心肌炎的诊治仍需进一步探索.

Abstract:

Myocarditis is a focal or diffuse inflammatory process of the myocardium. Along with the deepening of research, there are new technological advances which are useful to the diagnosis and treatment of myocarditis. Cardiovascular magnetic resonance imaging has become a useful noninvasive imaging tool for diagnosis of myocarditis, but does not replace endomyocardial biopsy. The supportive treatment has remained the mainstay of therapy for patients with myocarditis, especially with fulminant myocarditis, including the comprehensive treatment of shock, heart failure, and arrhythmia. Due to the lack of large clinical data, diagnosis and treatment for myocarditis remains to be further explored.