急性重症心肌炎酷似急性心肌梗死样图形改变1例

摘要

Objective To investigate the clinical characteristics and electrocardiogram changes on acute severe myocarditis mimicking acute myocardial infarction. Methods A case on acute severe myocarditis mimicking acute myocardial infarction was retrospectively analyzed its clinical characteristics and electrocardiogram changes. Results By timely reducing cardiac load, antivirus treatment and support treatment ,the patient discharged from hospital after her condition ease. Conclusion Acute severe myocarditis mimicking acute myocardial infarction can be identified by electrocardiogram changes and myocardial enzyme spectrum. Early diagnosis and early treatment can help to improve curative ef ect.%目的：探讨酷似急性心肌梗死的急性重症心肌炎的临床特点和心电图图形改变。方法回顾性分析了1例酷似急性心肌梗死样图形改变的急性重症心肌炎患者的临床资料及心电图。结果本例患者及时给予减轻心脏负荷、抗病毒、对症支持治疗，病情缓解后出院。结论酷似急性心肌梗死的急性重症心肌炎可通过心电图表现、心肌酶检查结果与急性心肌梗死进行鉴别。早诊断、早治疗有助于提高疗效。