What is the new diagnostic standard of the viral myocarditis? 's symptom

What is the new diagnostic standard of the viral myocarditis? 's symptom
[1]Clinical diagnosis basis
( 1) The heart function is not complete, heart source shock or heart brain syndrome.
( 2) Pursue to check, display in cardiac dilatation (aroused in interest X-ray, supersound) .
( 3) The electrocardiogram changes: 2 or more relying mainly on R wave is mainly led and united ' , 2, aVF, V5) ST-T last companion changes dynamic,sinus prop up to block Right deviation or left bunch room block, complete, Cheng LianLu, many shape, many sources, in pairs or the running side by side is fought early, it is not festival and room room of room room that return malposition tachycardia caused, low-voltage ( Except the neonate) And unusual Q wave.
( 4) CK-MB raises or myocardium troponin (cTnI or cTnT) Positive.
[2]Diagnose the basis in aetiology
( 1) Make a definite diagnosis of the index: Since the intersection of infant and membrane, cardiac muscle, pericardium under heart ' Live and examine, pathology) Or the pericardium puncture liquid, check, can make a definite diagnosis of myocarditis and have virus that causes while finding the following ones.
Separate the virus.
Find the virus core sour with the sour probe of virus core.
The specific virus antibody is positive.
( 2) Consult the basis: There are the following ones that can consider myocarditis has virus that causes to combine clinically.
From the infant excrement and urine, swallow and isolate the virus in the swab or blood, 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.
There is sour probe of virus core that since finds the virus core in infant's blood impractically.
[3]Make a definite diagnosis of the basis
( 1) Possess clinical diagnosis according to 2 items, but diagnose as myocarditis clinically. The evidence that the onset there is virus and is infected with in 1-3 weeks at the same time or before having illness coming on supports to diagnose.
( 2) Possess aetiology 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.
( 3) Unless basis all it if you can't possess, make a definite diagnosis of, be should last essential treatment or examine at the same timed,it make a definite diagnosis of condition change or except myocarditis.
Rheumatism myocarditis except answering, poisoning myocarditis, congenital heart disease, desmosis and supersession cardiac muscle are damaged, hyperfunction disease of thyroid gland function, primary myocardium disease, the intersection of membrane and the intersection of elasticity and fibrous the intersection of hyperplasia and disease, inborn atrio-ventricular block, heart independent function unusual and receptor function hyperfunction and electrocardiogram that medicine cause change in the primary heart. [4]By stages
( 1) Acute one: Have illness coming on newly, symptom and checking the masculine gender to find obvious and changeable, the general course of disease is within half a year.
( 2) Delay one: Clinical symptom appears repeatedly, the objective index delays and does not heal, there are in above half a year more courses of disease.
( 3) Chronic one: Going on cardiac enlargent is repeated and in heart failure or rhythm of the heart is not normal, the condition is sometimes light and sometimes serious, the course of disease is in above one year.


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