摘要
暴发性心肌炎(Fulminant Myocarditis,FM)是心肌炎的一种急危重症,临床上少见,早期临床表现不典型,易出现严重的心律失常,若不及时救治,患者可能在数小时至数天内死于心功能衰竭。本文讨论成功救治1例儿童重症暴发性心肌炎,结果表明ECMO、临时起搏器、CRRT、腹膜透析、呼吸支持在重症暴发性心肌炎合理使用是关键的治疗手段。
Fulminant Myocarditis (FM) is a kind of acute and severe myocarditis, it is rare in clinic, the early clinical manifestation is not typical, it is easy to appear serious arrhythmia, if it is not treated in time.Patients may die of heart failure within hours to days. A case of severe fulminant myocarditis in children was successfully treated. The results showed that ECMO,temporary pacemaker, CRRT, peritoneal dialysis and respiratory support were the key methods in the treatment of severe fulminant myocarditis.
作者
梁珍花
黄翰武
王敏
张建
Liang Zhenhua;Huang Hanwu;Wang Min;Zhang Jian(Pediatric intensive Care Unit,The People's Hospital of Guangxi Zhuang Autonomous,Guang Xi,China)
出处
《实用休克杂志(中英文)》
2019年第3期184-186,192,共4页
Journal of Practical Shock
关键词
体外膜肺氧合
暴发性心肌炎
起搏器
连续性血液净化
儿童
Extracorporeal membrane pulmonary oxygenation
Fulminant myocarditis
Pacemaker
Continuous Renal Replacement Therapy
Children