儿童暴发性心肌炎的诊断与治疗  

Diagnose and treatment of fulminant myocarditis in children

作　　者：沈兴[1] 于瑶[2] 饶小红[1] 杜娟[1] 熊小明[1] 

机构地区：[1]泸州医学院附属医院儿科,四川泸州646100 [2]叙永县人民医院儿科,四川叙永646400

出　　处：《西部医学》2014年第3期352-354,358,共4页Medical Journal of West China

摘　　要：目的探讨儿童暴发性心肌炎的临床表现和治疗方案,以提高对该病的认识。方法回顾性分析6例暴发性心肌炎患儿的临床表现、辅助检查结果、诊治情况及转归结局。结果 5例患儿以心外症状起病,2例误诊,经治疗后存活3例,死亡3例,存活患儿心功能正常,无严重心律失常。结论早期识别,积极处理,包括早期应用肾上腺皮质激素、丙种球蛋白或临时起搏治疗可提高治愈率,改善预后。Objective To explore the clinical manifestations and treatments of fulminant myocarditis in children. Method The data of 6 patients were analyzed including clinical manifestations, treatments and prognosis. Results There were 5 without heart symptoms and 2 with misdiagnose. 3 survived. Conclusion Early diagnose and aggressive supportive management including injecting corticosteroid and intravenous immunoglobulin, even with transvenous pacing may result in complete recovery in a significant number of children with fulminant myocarditis.

关 键 词：儿童 暴发性心肌炎 诊断 治疗 

分 类 号：R542.21[医药卫生—心血管疾病]