181例病毒性心肌炎临床特点及心律失常类型

Clinical characteristics and types of arrhythmia of viral myocarditis in 181 cases

小儿病毒性心肌炎１８１例，其中暴发性及心源性休克型８例。其主要特点是：心脏增大（４３．４％），心律失常（９３．９％），其中早搏最多见（５９．９％）；传导阻滞（１５．５％）。作者认为应强调对Ⅱ°－Ⅱ型以上传导阻滞病情严重应给激素及临时起搏器抢救治疗；心电轴异常（３５．７％），亦是心肌炎的重要心电图改变之一。

The paper reports 181 cases of viral myocarditis in children, 8 cases of them are abrupt cases and types of cardiogenic shock. The main characteristic of the cases is : Enlargement of heart (43. 40%). Arrhythmia (93. 90%),most of which are presystole (59. 90%) .heart block(15.50%). It was found that adrenocortical hormone therapy and temporary cardiac pacemaker installation should be given to the cases with over Ⅱ°-Ⅱ A-VB. Abnormal of heart electrical axis (35. 70%) . is also one of the important changes in ECG.