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儿童暴发性心肌炎九例临床分析 被引量:5

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摘要 目的探讨儿童急性暴发性心肌炎的早期诊断及治疗。方法回顾性分析2007年9月至2011年12月在本院住院治疗的9例急性暴发性心肌炎患儿的临床资料。其中男2例,女7例,年龄4个月~14岁,平均年龄6.6岁。9例患儿均符合暴发性心肌炎的诊断标准。确诊后给予吸氧、镇静、绝对卧床休息、营养心肌、抗病毒、应用大剂量丙种球蛋白,酌情予以肾上腺皮质激素,并纠正心力衰竭、心源性休克、心律失常等治疗。结果9例中,7例表现为心外症状,所有患儿心肌酶均明显增高且心电图存在异常改变。经治疗,4例好转,4例死亡,1例放弃。结论儿童暴发性心肌炎起病急且隐匿,临床表现多样,急性期病死率高,要早期诊断积极抢救以提高治愈率。
作者 魏雪梅 付丹
出处 《中国小儿急救医学》 CAS 2013年第1期87-88,共2页 Chinese Pediatric Emergency Medicine
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  • 1田宏,黄国英,高虹,陈都红,盛锋,徐素梅,刘豫阳,宁寿葆.小儿暴发性心肌炎13例临床分析[J].中国小儿急救医学,2006,13(4):381-382. 被引量:9
  • 2郭美珍,陈先荣,罗媛青.心肌肌钙蛋白I在病毒性心肌炎诊断中的意义[J].中国医学工程,2007,15(1):97-99. 被引量:2
  • 3Magnani JW,Dec GW.Myocarditis current trends in diagnosis and treatment.Circulation,2006,113 (6):876-890.
  • 4Chang YJ,Chao HC,He SH,Yan DC.Myocarditis presenting as gastritis in children.Pediatr Emerg Care,2006,22(66):439-440.
  • 5Gagliardi MG,Bevilacque EM,Bassano C.Long term follow up of children with myocarditis treated by immunosuppression of children with dilated cardiomyopathy.Heart,2004,90 (10):1167-1171.
  • 6Chen YS,Yu HY,Huang SC.Experience and result of extracorporeal membrane oxygenation in treating fulminant myocarditis with shock what mechanical support should be considered first.J Heart Lung Transplant,2005,24(1):81-87.
  • 7Amabile N,Fraisse A,Bouvenot J,et al.Ourcome of acute fulnint myocarditis in children.Heart,2006,92 (9):1269-1273.
  • 8Matsue Y, Kumasaka L, Nagahori W,et al. A case of fulminant myocarditis with three recurrences and recoveries[J]. Int Heart J,2010,51 (3) : 218 -219.
  • 9] Amabile N, Fraisse A, Bouvenot J, et al. Outcome of acute fulminant myocarditis in children [ J ]. Heart, 2006,92 ( 9 ) : 1269 - 1273.
  • 10] McCarthy RE 3 rd, Boehmer JP, Hruban RH, et al. Long - term outcome of fulminant myocarditis as compared with acute (nonfulminant)myocarditis[ J]. N Engl J Med,2000,342 (10) :690 -695.

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  • 1吴铁吉.病毒性心肌炎诊断标准(修订草案)[J].中国实用儿科杂志,2000,15(5):315.
  • 2中华医学会儿科学分会心血管学组;<中华儿科杂志>编辑委员会.病毒性心肌炎诊断标准(修订草案)[J]中华儿科杂志,2000(02):75.
  • 3Saji T,Matsuura H,Hasegawa K. Comparison of the clinical presentation,treatment,and outcome of fulminant and acute myocarditis in children[J].CIRCULATION JOURNAL,2012,(05):1222-1228.
  • 4Smith SC,Ladenson JH,Mason JW. Elevations of cardiac troponin I associated with myocarditis.Experimental and clinical correlates[J].CIRCULATION,1997,(01):163-168.
  • 5Al-Biltagi M,Issa M,Hagar HA. Circulating cardiac troponins levels and cardiac dysfunction in children with acute and fulminant viral myocarditis[J].Acta Paediatrica,2010,(10):1510-1516.
  • 6Wang Q,Pan W,Shen L. Clinical features and prognosis in Chinese patients with acute fulminant myocarditis[J].ACTA CARDIOLOGICA,2012,(05):571-576.
  • 7Di Bella G,Florian A,Oreto L. Electrocardiographic findings and myocardial damage in acute myocarditis detected by cardiac magnetic resonance[J].CLINICAL RESEARCH IN CARDIOLOGY,2012,(08):617-624.
  • 8Ichikawa R,Sumitomo N,Komori A. The follow-up evaluation of electrocardiogram and arrhythmias in children with fulminant myocarditis[J].CIRCULATION JOURNAL,2011,(04):932-938.
  • 9Abe T,Tsuda E,Miyazaki A. Clinical characteristics and longterm outcome of acute myocarditis in children[J].Heart and Vessels,2013,(05):632-638.
  • 10Kindermann I,Barth C,Mahfoud F. Update on myocarditis[J].Journal of the America College of Cardiology,2012,(09):779-792.

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