小儿暴发性心肌炎32例临床分析

小儿暴发性心肌炎32例临床分析
翁陈华;林明祥;郭予涛
【期刊名称】《河北医学》
【年(卷),期】2012(18)4
【摘要】目的:通过对32例暴发性心肌炎患儿的临床资料进行分析,探讨暴发性心肌炎的诊断和治疗.方法:收集2001年1月至2010年2月收治的暴发性心肌炎患儿32例,其中男20例,女12例;年龄3个月-14岁,对患儿的临床表现、诊断、治疗进行分析.结果:小儿暴发性心肌炎临床表现形式多样,病情进展迅速可出现心源性休克、充血性心力衰竭、严重心律失常、阿-斯综合征等导致死亡,早期诊断较困难,死亡率高(25%).结论:小儿暴发性心肌炎临床症状不典型,应该重视临床资料、提高认识、及时反复进行客观检查是早期诊断的关键;在综合治疗基础上,早期用大剂量肾上腺皮质激素和丙种球蛋白,有适应症的患儿及时置入临时起搏器是抢救成功的关键.%Objective: To analyze the clinical data of 32 children with fulminant myocarditis in order to explore the diagnosis and treatment of fulminant myocarditis. Method: Collected 32 cases of fulminant myocarditis from Jan. 2001 to Feb. 2010, including 20 males and 12 females; aged 3 months to 14 years, and then analyzed data of clinical manifestations, diagnosis, treatment. Result: The clinical manifestations of fulminant myocarditis had various forms, cardiogenic shock , congestive heart failure, serious arrhythmia, -Adams syndrome and even death can occur after rapid progression, It's difficut to diagnose the diaeae early and the mortality ( 25% ) was higher. Conclusion: The clinical symptoms of fulminant
myocarditis in children were atypical, the key to early diagnosis is much attention to clinical data, raising awareness, timely and repeated objective examination , early use of high-dose corticosteroids and Gamma globulin under the comprehensive treatment and timely placement of is the key to successful treatment.
【总页数】3页(P486-488)
【作者】翁陈华;林明祥;郭予涛
【作者单位】广东省汕头市中心医院儿科,广东,汕头,515031;广东省汕头市中心医院儿科,广东,汕头,515031;广东省汕头市中心医院儿科,广东,汕头,515031
【正文语种】中文
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