酷似心肌梗死的爆发性心肌炎附8例病例 [摘要] 目的 探讨酷似心肌梗死的爆发性心肌炎的临床特征及其预后。 方法 回顾我院8例临床临床表现酷似急性心肌梗死,最终确诊为爆发性心肌炎患者的临床表现和鉴别诊断,并进行临床随诊观察其预后。结果 8例患者年龄34-63(38.39±7.63)岁,均有血流动力学障碍和发热,经冠状动脉造影检查排除冠状动脉粥样硬化性心脏病,经过支持治疗全部存活,随诊2.5±1.9年无死亡和心力衰竭事件发生。结论 爆发性心肌炎患者临床表现凶险,有时需要与急性心肌梗死鉴别,经过积极对症支持治疗,患者的预后良好。 Characteristics and Prognosis of fulminant myocarditis HUANG Chao-lian ZENG Yong ZHU Wen-ling. Peking Medical College Hospital Chinese Academy of Medical Science Peking Medical College Bejing 100730 China[Abstract] Objectives To investigate the clinical characteristics and prognosis of fulminant myocarditis. Methods Retrospectively analyses the clinical characteristics fulminant myocarditis patients with similar clinical manifestation