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目的:探讨小儿病毒性心肌炎的临床特点及治疗方法。方法:对56例患儿进行心电图、心肌酶谱、血清心肌钙蛋白、病毒等的检测。结果:经过治疗后,55例(98.2%)患儿痊愈,1例患儿死亡;心电图检查后发现有43例(76.8%)患儿出现异常;心肌酶谱测定发现有45例(80.4%)患儿CK-MB有不同程度的升高;血清心肌钙蛋白测定共出现43例(76.8%)阳性变化。病毒检查10例(17.9%)患儿筛查出柯萨奇病毒。结论:轻症小儿病毒性心肌炎会出现心律失常,重症小儿病毒性心肌炎会发生死亡,临床上应根据患儿的表现及心电图、心肌酶、心肌钙蛋白等辅助检测尽早做出诊断治疗,提高患儿的生存质量。
Objective: To investigate the clinical features and treatment of viral myocarditis in children. Methods: 56 cases of children with ECG, myocardial enzymes, serum cardiac troponin, such as detection of the virus. Results: After treatment, 55 cases (98.2%) were cured and 1 case died. Electrocardiogram showed abnormalities in 43 cases (76.8%). Myocardial enzymogram was found in 45 cases (80.4% CK-MB in children with varying degrees of increase; serum cardiac troponin determination of a total of 43 cases (76.8%) positive changes. Coxsackie virus was screened in 10 cases (17.9%) of children. Conclusions: Arrhythmia occurs in viral myocarditis of mild type and death occurs in viral myocarditis of severe type. Diagnosis should be made as early as possible according to the performance of children, ECG, myocardial enzymes and cardiac troponin. Children’s quality of life.