摘要
目的探讨儿童暴发性心肌炎的临床表现和治疗方案,以提高对该病的认识。方法回顾性分析6例暴发性心肌炎患儿的临床表现、辅助检查结果、诊治情况及转归结局。结果 5例患儿以心外症状起病,2例误诊,经治疗后存活3例,死亡3例,存活患儿心功能正常,无严重心律失常。结论早期识别,积极处理,包括早期应用肾上腺皮质激素、丙种球蛋白或临时起搏治疗可提高治愈率,改善预后。
Objective To explore the clinical manifestations and treatments of fulminant myocarditis in children. Method The data of 6 patients were analyzed including clinical manifestations, treatments and prognosis. Results There were 5 without heart symptoms and 2 with misdiagnose. 3 survived. Conclusion Early diagnose and aggressive supportive management including injecting corticosteroid and intravenous immunoglobulin, even with transvenous pacing may result in complete recovery in a significant number of children with fulminant myocarditis.
出处
《西部医学》
2014年第3期352-354,358,共4页
Medical Journal of West China
关键词
儿童
暴发性心肌炎
诊断
治疗
Children
Fulminant Myocarditis
Diagnose
Treatments
