摘要
【目的】进一步深化对心内膜弹力纤维增生症(endocardial fibroelastosis,EFE)临床诊治的认识。【方法】对本院儿科5年来收治的32例EFE病例,结合病史、临床表现、辅助检查等进行回顾性分析。【结果】婴儿EFE多以呼吸道感染,尤其是下呼吸道感染为首发表现,常伴有突发心力衰竭。辅助检查可见胸片、心电图及心脏超声的改变。洋地黄类等药物的规范治疗对预后有明显影响。【结论】对于反复心衰而不能单纯用感染及先心解释的病例,要考虑到EFE可能。心脏超声是诊断EFE的重要依据。能否长期足量服用洋地黄类药物是影响预后的关键。
【Objective】 To explore the diagnosis and treatment of endocardial fibroelastosis（EFE） in infant. 【Methods】 Thirty-two cases of EFE were collected in five years,in order to analysesed the medical history,clinical manifestation and clinical examinations of these cases. 【Results】 Respiratory infection was the first appearance in most cases,especially the lower respiratory tract,they often have heart-failure suddenly.The radiological examination and electrocardiogram,as well as echocardiogaph can show abnormal appearances.The standard digitalis therapy can influence the outcome of EFE obviously. 【Conclusions】 If the heart-failure is recurrent attacks,but they can＇t be defined as infection and congenital cardiopathy,we should considerate the possibility of EFE.To diagnose,echocardiogaph is very important.Whether to take full dose digitalis for long time is the key to the outcome of EFE.
出处
《中国儿童保健杂志》
CAS
2010年第9期711-714,共4页
Chinese Journal of Child Health Care
