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本文介绍病毒性心肌炎伴完全性房室传导阻滞16例,并发心源性休克12例,发作2～5次晕厥者9例,心力衰竭4例。经大剂量地塞米松、VitC及适量异丙基肾上腺素或阿托品等药物治疗,5例痊愈出院,2例转为高度房室传导阻滞好转出院,9例药物治疗无效(其中2例置临时起搏器抢救成功:1例痊愈出院,另1例换置永久型起搏器病情稳定出院;余7例因未能实施起搏器抢救而死亡)。存活9例随访1 5/(12)～7年,结果发现:6例出院时痊愈者中1例于出院后2 1/2年死于心肌病,余5例均正常;2例出院时为高度房室传导阻滞者1例转为Ⅱ度房室传导阻滞,另1例仍为高度房室传导阻滞,1例置永久型起搏器者,定期随访至1 5/(12)年,窦性自主节律仍未恢复。
This article describes the viral myocarditis with complete atrioventricular block in 16 cases, complicated by cardiogenic shock in 12 cases, 2 to 5 episodes of syncope in 9 cases, 4 cases of heart failure. After high-dose dexamethasone, VitC and appropriate amount of isoproterenol or atropine and other drugs, 5 cases were discharged, 2 cases were transferred to atrioventricular block was improved, 9 cases of drug treatment is invalid (of which 2 cases set temporary Pacemaker was successfully rescued: one patient was discharged and the other was permanently discharged after replacement of permanent pacemaker; the other seven patients died because they failed to implement pacemaker rescue. Survival of 9 cases were followed up for 15 / (12) ~ 7 years. The results showed that 1 of the 6 patients discharged from hospital died of cardiomyopathy 21 and 2 years after discharge, and the remaining 5 were normal. One patient with atrioventricular block was converted to degree Ⅱ atrioventricular block and the other was still a high degree of atrioventricular block. One patient with permanent pacemaker was followed up to 15 / (12) Years, sinus rhythm has not yet recovered.