Diagnostic standard _'s treatment of the viral myocarditis

Diagnostic standard _'s treatment of the viral myocarditis
Diagnostic standard of the viral myocarditis
1.Clinical diagnosis basis
The heart function is not complete, heart source shock or heart brain syndrome.
Cardiac dilatation. X Pursue to check and display in aroused in interest line, supersound.
The electrocardiogram changes: I , 2 or more ST-T lasts more than 4 days to change in 2, aVF, V5 lead and unite, and the other serious rhythms of the heart are not normal.
CK-MB raises, myocardium skin calcium albumen (cTnI or cTnT) Positive.
2.Diagnose the basis in aetiology:
Make a definite diagnosis of the index: Membrane, cardiac muscle, pericardium (live and examine, pathology) in the heart Or the pericardium punctures liquids and checks and separates the virus, or find the virus core impractically with the impractical probe of virus core, or the specific virus antibody is positive.
Consult the basis: Excrement and urine, swallowing the swab or blood to separate the virus, and convalescent serum and antibody are dripped degree and risen or reduced more than 4 times more than the serum of first; The specific IgM antibodies are positive in the early infant's blood of course of disease; Since find the virus core in infant's blood impractically with the sour probe of virus core.
3.Make a definite diagnosis of the basis:
Possess clinical diagnosis according to 2 items, but diagnose as myocarditis clinically. The person who has evidence that virus infects supports to diagnose in 1- 3 weeks before whether the onset or has illness coming on at the same time.
Possess aetiology at the same time and make a definite diagnosis of one of the bases, can make a definite diagnosis of viral myocarditis, possess aetiology and consult one of the bases, but diagnose as viral myocarditis clinically.
All not possess and make a definite diagnosis of the basis, suspected viral myocarditis, should for the essential treatment or examine at the same time, and it follow by condition change,it make a definite diagnosis of or except myocarditis.
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