扩张型心肌病病儿51例精准诊疗分析  

ACCURATE DIAGNOSIS AND TREATMENT OF DILATED CARDIOMYOPATHY IN CHILDREN:AN ANALYSIS OF 51 CASES

作　　者：王秋鹏 郭青 刘洁 蔡杰 史嘉伟 刘亚黎 彭华 WANG Qiupeng;GUO Qing;LIU Jie;CAI Jie;SHI Jiawei;LIU Yali;PENG Hua(Department of Pediatrics,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院儿科,武汉430022 [2]华中科技大学同济医学院附属协和医院心外科,武汉430022

出　　处：《精准医学杂志》2018年第5期391-393,共3页Journal of Precision Medicine

基　　金：国家自然科学基金资助项目(81500218)

摘　　要：目的了解儿童扩张型心肌病病儿的临床特点、治疗方法及预后。方法对2015年1月—2018年6月在我院儿科及心外科收治的扩张型心肌病病儿的临床资料进行整理分析。结果 51例心肌病病儿均接受了内科综合治疗,其中11例取得了良好疗效,28例相对稳定,3例病情进展,3例死于心力衰竭,6例心脏移植病儿术后随访均生存良好。结论近年来儿童扩张型心肌病的诊疗已有了长足发展,成功延续了心肌病病儿的生命,同时心脏移植技术的发展也为心肌病病儿提供了生命保障。Objective To investigate the clinical features,treatment methods,and prognosis of dilated cardiomyopathy(DCM)in children. Methods A retrospective analysis was performed for the clinical data of children with DCM who were admitted to Department of Pediatrics and Department of Cardiac Surgery in our hospital from January 2015 to June 2018. Results All 51 children received comprehensive medical treatment,among whom 11 achieved a good outcome,28 had a stable disease,3 experienced progression,3 died of heart failure,and 6 who underwent heart transplantation had good survival during follow-up.Conclusion In recent years,great achievements have been made in the diagnosis and treatment of DCM in children,which successfully prolong the lives of children.At the same time,the rapid development of heart transplantation also provides life support for children with cardiomyopathy.

关 键 词：心肌病 扩张型 综合疗法 心脏移植 儿童 

分 类 号：R725.422[医药卫生—儿科]