1、Etiology of human myocarditisAcute myocarditisSubacute myocarditisChronic myocarditisMyocyte death and fibrosisCardiac dilatationDilated cardiomyopathyCongestive heart failureViral infectionMyocyte necrosisMacrophage activationCytokine expressionInterleukin-1Interleukin-2Tumor necrosis factor-Interf
2、eron-Spontaneous resolutionInfiltrating mononuclear cellsNatural killer cellsPerforinNitric oxideT and B lymphocytesNeutralizing antibodiesViremiaViral clearingAbsence of virus0 day4 days14 days90 days心脏的生物学标志心脏的生物学标志 伴有收缩功能障碍的伴有收缩功能障碍的AHF给氧或给氧或CPAP呋塞米呋塞米血管扩张剂血管扩张剂临床评估临床评估(选择机械装置治疗选择机械装置治疗)SBP正常正常SBP偏低偏低(脉压脉压2030mmHg)SBP80mmHg(脉压脉压10 g/(kg.min)和和/或或去甲肾上腺素去甲肾上腺素无反应再考虑机械装置无反应再考虑机械装置/正性肌力正性肌力药物药物反应较好口服治疗反应较好口服治疗:呋塞呋塞米米,ACEI”?