Abstract

新型冠状(新冠)病毒奥密克戎毒株正在人群中迅速传播,由于新冠病毒能结合心肌细胞表面的血管紧张素2受体而表现出嗜心肌性,临床上新冠病毒相关心肌炎并不少见,且多为普通型,少数可进展为暴发性心肌炎。“过度免疫”和“炎症风暴”仍然是其核心发病机制。新冠病毒相关心肌炎的早期识别和诊断对后期治疗非常关键,需根据病情轻重分层管理,普通型强调抗病毒、β受体阻断剂和改善心肌代谢药物的治疗,暴发性心肌炎仍然强调“以生命支持为依托的综合救治方案”,做到“极早识别、极早诊断、极早预判和极早救治”,尽最大努力挽救更多生命。.

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