【摘要】 目的探讨儿童暴发性心肌炎的临床表现和治疗方案,以提高对该病的认识。方法回顾性分析6例暴发性心肌炎患儿的临床表现、辅助检查结果、诊治情况及转归结局。结果 5例患儿以心外症状起病,2例误诊,经治疗后存活3例,死亡3例,存活患儿心功能正常,无严重心律失常。结论早期识别,积极处理,包括早期应用肾上腺皮质激素、丙种球蛋白或临时起搏治疗可提高治愈率,改善预后。更多还原

【Abstract】 Objective To explore the clinical manifestations and treatments of fulminant myocarditis in children. Method The data of 6patients were analyzed including clinical manifestations,treatments and prognosis.Results There were 5without heart symptoms and 2with misdiagnose.3survived.Conclusion Early diagnose and aggressive supportive management including injecting corticosteroid and intravenous immunoglobulin,even with transvenous pacing may result in complete recovery in a significant number of children with fulminant myocarditis.更多还原