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小儿病毒性心肌炎的诊断与治疗分析

Diagnosis and treatment of children with viral myocarditis

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【作者】 李秀兰

【Author】 LI Xiu-lan;The Fourth People’s Hospital of Shangqiu City;

【机构】 商丘市第四人民医院儿科

【摘要】 目的探讨小儿病毒性心肌炎的诊断与治疗方法。方法对2009年2月—2014年11月收治的100例病毒性心肌炎患儿的临床资料进行回顾性分析。结果本组100例病毒性心肌炎患儿的动态心电图中发现心律失常69例(69.00%),常规心电图发现心律失常32例(32.00%)。动态心电图与常规心电图对比检查差异有统计学意义(P<0.05)。本组患儿经治疗后显效61例(61.00%),有效33例(33.00%),无效6例(6%),总治疗有效率为94.00%。结论动态心电图检测能提高患儿心律失常的检出率和病毒性心肌炎的诊出率,对该病做到尽早发现,减少因漏诊导致病情延误的发生。抗炎、抗病毒及增强免疫力治疗能有效改善患者症状,疗效显著。

【Abstract】 Objective To investigate the diagnosis and treatment of children with viral myocarditis. Methods The clinical data of the hospital in February 2009- November 2014 admitted 100 cases of viral myocarditis in children were analyzed retrospectively. Results Totally 100 cases of viral myocarditis in children Holter found 69 cases accounted for69. 00 percent of arrhythmia,ECG arrhythmia was found in 32 cases,accounting for 32. 00%. Holter ECG comparison with conventional examination there was significant difference( P < 0. 05). This group of children after treatment showed61 cases,accounting for 61. 00%,effective 33 cases,accounting for 33. 00%,6 cases,accounting for 6% of the total effective rate was 94. 00%. Conclusion Holter detection can increase the detection rate of arrhythmia in children and viral myocarditis diagnosed rate,achieve early detection of the disease,reducing delays due to misdiagnosis leading to disease occurrence. Anti- inflammatory,anti- viral and immune enhancement therapy can improve symptoms,a significant effect.

【关键词】 小儿病毒性心肌炎诊断治疗
【Key words】 ChildrenViralMyocarditisDiagnosis
  • 【文献出处】 医药论坛杂志 ,Journal of Medical Forum , 编辑部邮箱 ,2015年09期
  • 【分类号】R725.4
  • 【被引频次】2
  • 【下载频次】58
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