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目的探讨小儿重症心肌炎的早期诊断与治疗方法。方法回顾性分析15例急性重症病毒性心肌炎患儿临床资料,分析小儿暴发性心肌炎临床症状、治疗及预后。结果急性重症心肌炎起病急、病程进展迅速,本组中4例急性期死于急性肺水肿或心脑综合征,2例心电图遗留Ⅰ度房室传导阻滞。结论小儿暴发性心肌炎短时间内可发生严重心力衰竭、心律失常、心源性休克、急性肺水肿、心脑综合征及多脏器功能损害等,治疗应以改善心功能、维持脏器正常灌注和维持循环功能为目的,早期发现及早期合理治疗有助于改善患儿预后。
Objective To investigate the early diagnosis and treatment of pediatric severe myocarditis. Methods The clinical data of 15 children with acute severe viral myocarditis were retrospectively analyzed. The clinical symptoms, treatment and prognosis of fulminant myocarditis in children were analyzed. Results The acute onset of acute myocarditis was rapid and the course of the disease progressed rapidly. In this group, 4 cases died of acute pulmonary edema or cardio-cerebral syndrome in the acute phase and 2 cases left ventricular block of ECG in 2 cases. Conclusions Severe heart failure, arrhythmia, cardiogenic shock, acute pulmonary edema, cardio-cerebral syndrome and multiple organ dysfunction may occur in children with fulminant myocarditis within a short period of time. The treatment should be to improve cardiac function and maintain normal organ perfusion And maintain the circulatory function for the purpose of early detection and early reasonable treatment can help to improve the prognosis of children.