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目的 探讨小儿病毒性心肌炎新的治疗方案。方法 115例病毒性心肌炎 ,其中 96例进行了放射性核素心肌显像检查 ,主要采用联合输注 1,6 -二磷酸果糖 (FDP)及参麦治疗 ,观察临床相关症状、体征及心电图 (含 Holter)的转归情况。结果 治疗前后自身对照 ,平均近期有效率分别是 91.6 %和 90 .4% ,缺血性 ST- T变化在 2～ 3周内恢复正常达 10 0 %。结论 联合治疗方案可直接促进磷酸果糖激酶及丙酮酸激酶的活性 ,促进糖酵解 ,产生足够的 ATP而有益于缺血的心肌功能恢复 ,其疗效颇为满意。
Objective To investigate the new treatment of viral myocarditis in children. Methods A total of 115 cases of viral myocarditis were examined in 96 patients with radionuclide myocardial imaging. FDP and Shen Mai were used in the study. The clinical symptoms, signs and electrocardiogram (including Holter) the outcome of the situation. Results Before and after treatment, the average effective rate was 91.6% and 90.4% respectively, and the change of ischemic ST-T returned to normal within 10 ~ 2 weeks. Conclusions The combined treatment regimen can directly promote the activity of phosphofructokinase and pyruvate kinase, promote the glycolysis, generate sufficient ATP and restrain the recovery of ischemic myocardial function, and the therapeutic effect is quite satisfactory.