论文部分内容阅读
作者1979～1989年间收集证实婴儿和儿童心肌梗塞(MI)患儿的临床资料,并系统地研究了对生存者的影响和评估。17例儿童(男6例,女11例)具有典型的心电图特征,除外心脏手术后的MI。诊断时的年龄范围在2个月至12岁。12例(71％)呼吸困难为原发症状,伴有呕吐和喂养困难。17例儿童中15例MI在左冠状动脉系统范围,包括8例死亡;2例在右冠状动脉供血区域。不规则的左冠状动脉起源于肺动脉(6例,35％)和川畸病(5例,29％)占大多数病例。
The authors collected clinical data from infants and children with myocardial infarction (MI) from 1979 to 1989 and systematically studied the impact and assessment of survival. Seventeen children (6 males and 11 females) had typical ECG characteristics except MI after cardiac surgery. The age at diagnosis ranged from 2 months to 12 years. Twelve patients (71%) had dyspnea as the primary symptom with vomiting and feeding difficulties. Fifteen of 17 children underwent MI in the left coronary artery system, including 8 deaths and 2 in the right coronary artery. Irregular left coronary artery originated in the pulmonary artery (6 cases, 35%) and Kawasaki disease (5 cases, 29%) accounted for the majority of cases.