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心肌炎的临床表现轻重差别很大,轻者可完全恢复,而重者则可迅速死亡,其慢性过程也可发展为急性经过,导致二尖瓣闭锁不全和充血性心衰。现报告7例如下。资料及结果资料来自1987年lo月～1989年6月Miami J-M 儿童医疗中心儿科急诊室诊断急性心肌炎的7名婴儿的早期临床表现。诊断方法采用病史、体检和选择性实验室和辅助科室检查,包括胸片、心电图、动脉血气分析、白细胞计数、心脏酶系统(CPK 和 CPK-MB)检查和血的细菌培养及病毒分离。7例婴儿心肌炎的主要表现见表1。在心肌炎症状出现以前,所有病例曾患有1～2天的呼吸道感染,伴有发热、呕吐或腹泻等症状。虽入院时只有1例发热,但病史中有发热史者共3例,没有1例病前有慢性病或心脏病史。本资料中需气管插管者6例,例2是在第2次诊治时立即插管的,第2次就诊在第一次诊治后13小时。动脉血气分析结
The clinical manifestations of myocarditis varies greatly in severity, light can be completely restored, while those who are severe can die quickly, the chronic process can also develop into acute, leading to mitral regurgitation and congestive heart failure. Now report 7 cases as follows. DATA AND RESULTS Information from the early clinical presentation of 7 infants diagnosed with acute myocarditis at the pediatric emergency department at Miami J-M Children’s Medical Center from January 1987 to June 1989. Diagnostic methods used medical history, physical examination and selective laboratory and laboratory tests, including chest radiography, electrocardiogram, arterial blood gas analysis, white blood cell count, cardiac enzyme system (CPK and CPK-MB) examination and blood bacterial culture and virus isolation. The main manifestations of 7 cases of infant myocarditis in Table 1. Prior to the onset of symptoms of myocarditis, all cases had respiratory infections for 1 to 2 days, with symptoms of fever, vomiting or diarrhea. Although only 1 case of fever, but history of fever in the history of a total of 3 cases, no case of pre-existing chronic or heart disease history. The data required tracheal intubation in 6 cases, 2 cases immediately in the second diagnosis and treatment of intubation, the second visit 13 hours after the first consultation. Arterial blood gas analysis