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目的总结儿童急性病毒性心肌炎(VMC)的临床特点,提高对该病的认识。方法回顾分析421例儿童病毒性心肌炎的临床资料。结果421例患儿中,男216例,女205例,中位年龄7.13岁。具有不同程度不适表现者为90.7%,病前或发病同时有明确感染史为92.4%,心肌酶谱增高者为96.2%,超声心动图出现心脏扩大或心功能降低表现者为39.6%,心电图表现ST-T改变者为76.2%,各种心律失常占90.7%。结论儿童急性病毒性心肌炎临床表现多样,以学龄前及学龄期儿童多见,心律失常是重要表现之一,心肌酶谱、动态心电图、胸部X线、超声心动图对病毒性心肌炎的诊断有重要意义。
Objective To summarize the clinical features of children with acute viral myocarditis (VMC) and to improve their understanding of the disease. Methods A retrospective analysis of 421 cases of children with viral myocarditis clinical data. Results 421 cases of children, 216 males and 205 females, the median age of 7.13 years. 90.7% patients with different degrees of discomfort, 92.4% had a clear history of infection before or at the onset of disease, 96.2% of patients with increased myocardial enzymes, echocardiography showed heart enlargement or decreased cardiac function were 39.6%, ECG performance ST-T changes were 76.2%, various arrhythmias accounted for 90.7%. Conclusion The clinical manifestations of acute viral myocarditis in children are diverse. Pre-school and school-age children are more common. Arrhythmia is one of the most important manifestations. Myocardial zymogram, cardiogram, chest X-ray and echocardiography are important for the diagnosis of viral myocarditis. significance.