摘要
目的:通过对32例暴发性心肌炎患儿的临床资料进行分析,探讨暴发性心肌炎的诊断和治疗。方法:收集2001年1月至2010年2月收治的暴发性心肌炎患儿32例,其中男20例,女12例;年龄3个月-14岁,对患儿的临床表现、诊断、治疗进行分析。结果:小儿暴发性心肌炎临床表现形式多样,病情进展迅速可出现心源性休克、充血性心力衰竭、严重心律失常、阿-斯综合征等导致死亡,早期诊断较困难,死亡率高(25%)。结论:小儿暴发性心肌炎临床症状不典型,应该重视临床资料、提高认识、及时反复进行客观检查是早期诊断的关键;在综合治疗基础上,早期用大剂量肾上腺皮质激素和丙种球蛋白,有适应症的患儿及时置入临时起搏器是抢救成功的关键。
Objective： To analyze the clinical data of 32 children with fulminant myocarditis in order to explore the diagnosis and treatment of fulminant myocarditis.Method：Collected 32 cases of fulminant myocarditis from Jan.2001 to Feb.2010,including 20 males and 12 females;aged 3 months to 14 years,and then analyzed data of clinical manifestations,diagnosis,treatment.Result： The clinical manifestations of fulminant myocarditis had various forms,cardiogenic shock,congestive heart failure,serious arrhythmia,-Adams syndrome and even death can occur after rapid progression,It＇s difficut to diagnose the diaeae early and the mortality（25%） was higher.Conclusion： The clinical symptoms of fulminant myocarditis in children were atypical,the key to early diagnosis is much attention to clinical data,raising awareness,timely and repeated objective examination,early use of high-dose corticosteroids and Gamma globulin under the comprehensive treatment and timely placement of is the key to successful treatment.
出处
《河北医学》
CAS
2012年第4期486-488,共3页
Hebei Medicine
关键词
暴发性心肌炎
小儿
诊断
治疗
Fulminant myocarditis
Children
Diagnosis
Treatment
