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心肌功能不全患儿在链球菌感染后患急性肾小球肾炎(APSGN)多见,甚者可致死。病理学研究显示,尸解患儿中浆液性心肌炎占10%。APSGN患儿的充血性心衰可能源于心肌炎所致的心肌功能不全,左心室功能异常是心肌功能不全的最重要表现。通常,左心室功能可应用侵入性(心导管)和非侵入性(超声心动图)技术检查。现以非侵入性技术研究APSGN患儿的左心室功能。对象与方法35例APSGN患儿女性15例、男性20例,平均年龄9.5岁。患者均有血尿、蛋白尿、浮
Myocardial dysfunction in children suffering from streptococcal acute glomerulonephritis (APSGN) more common, worse to death. Pathological studies have shown that autopsy children with serous myocarditis accounted for 10%. Congestive heart failure in children with APSGN may be due to myocardial dysfunction caused by myocarditis. Left ventricular dysfunction is the most important manifestation of myocardial dysfunction. In general, left ventricular function can be examined using invasive (cardiac catheterization) and noninvasive (echocardiographic) techniques. Noninvasive techniques are currently used to study left ventricular function in children with APSGN. Subjects and Methods 35 cases of APSGN children 15 females, 20 males, mean age 9.5 years. Patients have hematuria, proteinuria, floating