儿童心肌炎影像学检查  

Imaging examination of myocarditis in children

作　　者：熊振宇 金娜 李香莹 朱园园 XIONG Zhen-yu;JIN Na;LI Xiang-ying(Department of Cardiology,Kaifeng Children's Hospital,Kaifeng 475000,China;不详)

机构地区：[1]开封市儿童医院心内科,河南开封475000 [2]河南大学人民医院,河南郑州450000

出　　处：《中国实用儿科杂志》2024年第3期193-198,共6页Chinese Journal of Practical Pediatrics

摘　　要：心肌炎为心肌组织的炎症。心脏影像学检查能客观反映心肌炎时心脏组织学特征及功能状态。心电图被广泛用作心肌炎的初步筛查工具;超声心动图能及时快速评估心肌损害及严重程度,是评估疑似心肌炎患者心脏结构和功能的一线和最普遍的成像方式;心脏磁共振(CMR)能准确检测心肌炎症损伤和水肿,越来越多地代替心内膜心肌活检(endomyocardial biopsy,EMB)来诊断急性心肌炎;放射性核素心肌显像可检测心肌炎症浸润和坏死灶,评估心肌活力和灌注情况,对心肌炎有较高的诊断价值。运用好影像学检查,结合临床综合分析,对心肌炎的精准诊治有重要作用。Myocarditis is the inflammation of myocardial tissue.Cardiac imaging examinations can objectively reflect the histological characteristics and functional status of the heart in myocarditis.The electrocardiogram is widely used as a preliminary screening tool for myocarditis.Echocardiography is the first-line and most common imaging method for evaluating the cardiac structure and function of patients with suspected myocarditis because it can quickly and timely assess the myocardial damage and severity.Cardiac magnetic resonance(CMR)can accurately detect damage and edema in myocarditis,increasingly replacing endomyocardial biopsy(EMB)in the diagnosis of acute myocarditis.Radionuclide myocardial imaging can detect inflammatory infiltration and necrosis,as well as evaluate myocardial viability and perfusion,which is of high vaue in the diagnosis of myocarditis.The use of imaging examinations,combined with comprehe-nsive clinical analysis,plays an important role in the accurate diagnosis and treatment of myocarditis.

关 键 词：心肌炎 影像学 诊断 儿童 

分 类 号：R72[医药卫生—儿科]