3例暴发性心肌炎患者的急诊救治与临床分析

Emergency treatment and clinical analysis of 3 cases of fulminant myocarditis

目的探讨暴发性心肌炎的急诊诊断、救治与防范措施及效果。方法回顾急诊及急诊院前接诊的3例暴发性心肌炎患者的临床资料,并结合文献分析诊断和救治情况。结果1例抢救成功并治愈出院,2例抢救未成功,死亡。结论暴发性心肌炎起病急骤,病情进展快,死亡率高,诊断困难,警惕暴发性心肌炎的猝死,注意防范和救治。

Objective To discuss the emergency diagnosis,treatment,prevention measures and effect of fulminant myocarditis.Methods The clinical data 3 patients with fulminant myocarditis in emergency and pre emergency hospital were reviewed and the diagnosis and treatment were analyzed in combination with the literature.Results 1 case was successfully rescued and discharged cured,and 2 cases were unsuccessfully resuscitated and died.Conclusion Fulminant myocarditis has a rapid onset,rapid progress,high mortality and difficult diagnosis.So be alert to the sudden death of fulminant myocarditis and pay attention to prevention and treatment.