以呕吐为突出表现的心肌损害、心肌炎患儿38例临床病例分析

Clinical analysis of 38 cases of myocardial injury and myocarditis performed mainly by vomiting

目的 对以呕吐为突出表现的心肌损害、心肌炎患儿38例临床病例进行分析,帮助提高临床诊疗质量。方法 对我院38例以呕吐为突出表现的心肌损害、心肌炎患儿的临床症状、体征,常规检查,生化化验检查及心电图检查,心脏B超检查,及治疗结果进行分析并总结。结果 38例中,有10例住院时除了呕吐明显,还伴有腹泻、腹胀等消化道感染表现;全部患儿住院时间7~15 d,平均住院10 d。痊愈出院10例,好转出院28例。定期门诊随诊观察3月至2年不等,皆完全恢复健康无后遗症。结论 有呕吐症状的患儿心肌损害、心肌炎发生几率虽然不高,但临床医生需引起重视,减少误诊误治。

Objective To analyze the clinical cases of 38 children with suspicious cardiac damage and viral myocarditis who prominently manifestations vomit, and to help improve the quality of clinical diagnosis and treatment. Methods Thirty- eight cases of children with myocardial damage and myoearditis in our hospital were selected, and their clinical symptoms, signs, routine examination, biochemical laboratory tests and ECG, cardiac B-ultrasound results were analyzed and summarized. Results Of 38 cases, 10 cases who manifested as vomiting meanwhile accompanied by the digestive tract infections such as diarrhea, abdominal distension, performance; All children hospitalized with 7-15 d, the average hospitalization was 10 d, 10 cases were cured, 28 cases were discharged from hospital After 3 months to 2 years regular outpatient follow-up observation, all children were completely recovered without sequelae. Conclusion The incidence of myocardial damage in children with vomiting is not high, but clinicians need to pay attention to reduce misdiagnosis and wrong treatment.