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近5年间,我院儿科收治的由各种原因引起或从外院转诊的心肌炎病人154例,其中10例为β受体反应亢进症而误诊为心肌炎,因临床症状较顽固,心电图表现T波持续低平或倒置,经护心肌、扩管、抗感染治疗均未奏效。这类病人后经心得安试验T波恢复,从而排除心肌炎,诊断为β受体反应亢进症。给予心得安、镇静剂、谷维素等治疗,均获得满意治疗效果。以下对10例误诊病人进行分析。1 临床资料 年龄为7～12岁6例,4岁2例,小于4岁2例,
In the past 5 years, 154 cases of myocarditis caused by various reasons or referral from other hospitals in our pediatric department, of which 10 were β -reactive hyperresponsiveness and were misdiagnosed as myocarditis. Due to clinical symptoms more stubborn, ECG showed T wave Continuous low or inverted, by the protection of myocardium, expansion, anti-infective treatment did not work. Such patients after the well-tested T wave recovery, thus excluding myocarditis, diagnosed as beta receptor hyperactivity. Give peace of mind, sedatives, oryzanol and other treatment, are satisfied with the treatment effect. The following 10 cases of misdiagnosed patients were analyzed. 1 Clinical data of 6 cases aged 7 to 12 years old, 4 years old in 2 cases, less than 4 years old in 2 cases,