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目的探讨轮状病毒腹泻患儿心肌损害的发病机理及其预后。方法回顾性分析 4 7例轮状病毒患儿的临床资料和实验室检查结果。结果约有 2 5 .3%的轮状病毒腹泻患儿发生心肌损害 ,其中以腹泻合并脱水酸中毒者更为多见 ,心肌损害可能与病毒血症有关 ,而与电解质紊乱无关。结论轮状病毒所致心肌受损并不少见 ,但心肌损害呈可逆性 ,且病情轻微 ,预后较好。
Objective To investigate the pathogenesis and prognosis of myocardial damage in children with rotavirus diarrhea. Methods Retrospective analysis of 47 cases of rotavirus in children with clinical data and laboratory test results. Results About 25.3% of children with rotavirus diarrhea had myocardial damage, of which diarrhea with dehydration acidosis were more common, myocardial damage may be associated with viremia, and has nothing to do with electrolyte imbalance. Conclusion Rotavirus induced myocardial damage is not uncommon, but myocardial damage was reversible, with mild disease and good prognosis.