酷似急性心肌梗死的小儿急性心肌心包炎1例临床分析并文献复习  

Pediatric acute myocardial pericarditis similar to acute myocardial infarction:clinical analysis of one case and literature review

作　　者：朱云怡 秦嘉程 沈弈 程超 ZHU Yunyi;QIN Jiacheng;SHEN Yi;CHENG Chao(Department of Pediatrics,Suzhou Science&Technology Town Hospital,Suzhou 215000,China)

机构地区：[1]苏州科技城医院儿科,江苏苏州215000

出　　处：《中国中西医结合儿科学》2022年第4期284-287,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：目的探讨小儿急性心肌心包炎与急性心肌梗死的早期鉴别。方法对1例酷似急性心肌梗死的小儿急性心肌心包炎病例进行临床表现、心肌标志物、心电学特征的分析并行相关文献复习。结果小儿急性心肌心包炎与急性心肌梗死有相似临床表现及心电图ST-T抬高,危险因素及冠脉造影有异。结论儿童急性心肌心包炎患者与急性心肌梗死可根据详细询问病史、心电学演变特征及冠脉造影做出早期鉴别。Objective To explore the early differentiation between pediatric acute myocardial pericarditis and acute myocardial infarction.Methods Analyze the clinical manifestations,myocardial markers and electrocardiographic characteristics of a case of pediatric acute myocardial pericarditis similar to acute myocardial infarction and make a literature review.Results It was found that pediatric acute myocardial pericarditis and acute myocardial infarction had similar clinical manifestations and electrocardiogram ST-T elevation,but were different in the risk factors and coronary angiography.Conclusion The early identification of pediatric acute myocardial pericarditis and acute myocardial infarction can be made according to the detailed inquiring medical history,electrocardiographic evolution characteristics and coronary angiography.

关 键 词：心肌心包炎 心肌梗死 心电图鉴别 儿童 

分 类 号：R542.11[医药卫生—心血管疾病]