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目的探讨儿童病毒性心肌炎(VMC)患儿的临床特征、诊断方法及病毒性心肌炎疗效分析。方法回顾性分析2008年1月至2011年3月间徐州市儿童医院收治的124例VMC患儿的临床资料。结果 VMC的发病年龄以1岁前居多,临床上以发热、心前区疼痛、全身乏力等为主要表现,辅助检查心电图异常110例,占88.71%,动态心电图检查阳性率为92.31%,心肌酶检查异常率为96.77%。治疗有效率为94.35%,加用磷酸肌酸钠治疗有效率为100%。结论对于儿童期,特别是1岁内的病毒性感染患儿,临床上应关注有无VMC表现,疑似患儿应及时进行心电图、动态心电图及心肌酶的检查,明确诊断,及早治疗。磷酸肌酸钠对儿童病毒性心肌炎有确切的心肌保护治疗作用。
Objective To investigate the clinical features, diagnosis and diagnosis of viral myocarditis in children with viral myocarditis (VMC). Methods The clinical data of 124 VMC children admitted to Xuzhou Children’s Hospital from January 2008 to March 2011 were retrospectively analyzed. Results The onset age of VMC was predominant before 1 year of age. Clinical manifestations included fever, precordial pain and malaise. 110 cases (88.71%) had abnormal electrocardiogram (ECG) abnormality and 92.31% had dynamic electrocardiogram (ECG) Abnormal rate of examination was 96.77%. The treatment efficiency was 94.35%, plus the treatment of sodium creatine phosphate was 100%. Conclusion In children, especially in children with viral infection within 1 year of age, we should pay attention to the clinical manifestations of VMC. Suspected children should be timely ECG, ECG and myocardial enzyme tests, a clear diagnosis and early treatment. Creatine phosphate sodium in children with viral myocarditis have the exact role of myocardial protection.