儿童重症手足口病动态心电图分析

Dynamic electrocardiogram analysis of severe hand foot and mouth disease in children

目的探讨动态心电图在重症手足口病诊疗过程中的应用价值,及其用于早期识别重症手足口病患儿,实施有效的临床干预的价值。方法选取150例手足口病患儿,其中轻症手足口病100例,重症手足口病50例,对患者的24小时动态心电图结果进行回顾分析,比较两组患儿的心律失常情况和心率变异性的情况。结果儿童重症手足口病24小时动态心电图心律失常发生率明显高于轻症组,其中以室性早搏、房性早搏、房室阻滞最为普遍。结论手足口病重症患儿会出现心肌损伤,引起各种心律失常,应及时行动态心电图检查发现心律失常,进行有效的早期干预,预防恶性心律失常事件的发生。

Objective To explore the application value of Holter electrocardiogram in the diagnosis and treatment of severe hand-foot-mouth disease(HFMD),and to implement effective clinical intervention for early identification of children with HFMD.Methods A total of 150 children with HFMD,including 100 cases with mild HFMD and 50 cases with severe HFMD,were selected for retrospective analysis of the results of 24h Holter electrocardiogram,and the arrhythmia and heart rate variability were compared between the two groups.Results The incidence of 24-hour dynamic electrocardiogram rhythm rate in children with severe HAND-foot-mouth disease was significantly higher than that in the mild group,among which ventricular premature beats,atrial premature beats and atrioventricular block were the most common changes.Conclusions Children with severe HAND,foot and mouth disease may suffer from myocardial injury and cause a variety of arrhythmias.Timely dynamic electrocardiogram examination can timely and effectively detect arrhythmias,carry out effective early intervention,and prevent the occurrence of malignant arrhythmias.