[1]王斯 魏欣 肖乾凤 陈晓平.心肌炎的分类及治疗进展[J].心血管病学进展,2021,(4):337-341.[doi:10.16806/j.cnki.issn.1004-3934.2021.04.012]
 WANG Si,WEI Xin,XIAO Qianfeng,et al.The Classification and Treatment Progress of Myocarditis[J].Advances in Cardiovascular Diseases,2021,(4):337-341.[doi:10.16806/j.cnki.issn.1004-3934.2021.04.012]
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心肌炎的分类及治疗进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年4期
页码:
337-341
栏目:
综述
出版日期:
2021-04-25

文章信息/Info

Title:
The Classification and Treatment Progress of Myocarditis
作者:
王斯 魏欣 肖乾凤 陈晓平
(四川大学华西医院心脏内科,四川 成都 610041)
Author(s):
WANG SiWEI XinXIAO QianfengCHEN Xiaoping
(Department of Cardiology,West China Hospital,Sichuan University,Chengdu 610041,China)
关键词:
心肌炎心内膜心肌活检免疫抑制治疗
Keywords:
Myocarditis Endomyocardial biopsy Immunosuppressive therapy
DOI:
10.16806/j.cnki.issn.1004-3934.2021.04.012
摘要:
心肌炎是指心肌的炎症性疾病,以心肌细胞坏死和间质炎性细胞浸润为主要表现。根据病因不同,心肌炎可分为感染性和非感染性;根据临床表现不同,心肌炎可分为暴发性心肌炎、急性心肌炎和慢性心肌炎;根据组织学特点不同,心肌炎可分为淋巴细胞性心肌炎、巨细胞性心肌炎、嗜酸性心肌炎、心脏结节病、中性粒细胞性心肌炎以及组织病理学难以分类型。同种临床表现的心肌炎可由不同的病因所致,也可有不同的组织学类型,除了对症支持治疗以外,需结合病因、临床表现和组织学类型制定免疫抑制治疗方案。
Abstract:
Myocarditis is an inflammatory disease of the myocardium, mainly characterized by necrosis of the myocytes and infiltration of inflammatory cells in the interstitial space . According to the different etiologies ,myocarditis can be divided into infectious and non-infectious myocarditis according to the clinical manifestations,myocarditis can be divided into fulminant myocarditis,acute myocarditis and chronic myocarditis according to the histological characteristics,myocarditis can be divided into lymphocytic myocarditis,giant cell myocarditis,eosinophilic myocarditis,cardiac sarcoidosis,neutrophil myocarditis and others. Myocarditis with the same clinical manifestation can be caused by different etiologies and has different histological characteristics. In addition to supportive treatment,further immunosuppressive therapy should be formulated according to etiolog ies,clinical manifestations and histological characteristics.

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备注/Memo

备注/Memo:
基金项目:四川省卫生健康委员会科研课题(20PJ045) 通信作者:陈晓平,E-mail:xiaopingchen11@126.com 收稿日期:2020-10-19
更新日期/Last Update: 2021-07-01