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目的探讨小儿病毒性心肌炎心电图改变特点及临床意义。方法我院收治的确诊为病毒性心肌炎患儿86例,分析心电图及其它辅助检查对病毒性心肌炎的诊断价值。结果 86例病毒性心肌炎患儿中70(81.40%)例心电图表现异常,以心率失常为最常见,其次为ST-T改变;心电图异常率与心肌酶、超声心动图、胸片检查异常率比较差异有显著性(P<0.05);房性及室性早博患儿预后一般良好,合并多项心电图改变时,治疗效果及预后较差。结论心电图改变对早期发现和诊断小儿病毒性心肌炎、了解患儿的预后及指导临床用药具有较高的参考价值。
Objective To investigate the characteristics of electrocardiogram changes in children with viral myocarditis and its clinical significance. Methods 86 cases diagnosed as viral myocarditis in our hospital were diagnosed, and the diagnostic value of electrocardiogram and other auxiliary examinations for viral myocarditis was analyzed. Results The electrocardiogram was abnormal in 70 (81.40%) of 86 children with viral myocarditis. The arrhythmia was the most common, followed by the change of ST-T. The abnormal rate of electrocardiogram and myocardial enzymes, echocardiography and chest X-ray examination were compared (P <0.05). The prognosis of atrial and ventricular premature beats was generally good. When multiple electrocardiogram changes were combined, the treatment effect and prognosis were poor. Conclusion ECG changes early detection and diagnosis of viral myocarditis in children, to understand the prognosis of children and guide the clinical use of drugs with high reference value.