【摘要】目的研究分析重症心肌炎发病进展与诊疗。方法总结1999年2月至2002年12月收治的50例急性重症病毒性心肌炎分析。结果本组3例急性期死亡,其中1例死于急性肺水肿,2例死于心脑综合征。6例心电图遗留有不同程度异常改变。结论急性重症病毒性心肌炎发病急骤、病程进展迅速,常在短时间内发生严重心力衰竭、心律失常、心源性休克、合并急性肺水肿、心脑综合征及多脏器功能损害等,抢救治疗不当,常可危及患儿生命。

    【关键词】 重症病毒性心肌炎年龄1～12岁感染期不同改变

    【中图分类号】 R737.9【文献标识码】 A【文章编号】 1674-0742(2011)01(b)-0004-02

    Children with acute viral myocarditis in 50 cases

    Yu Chengru

    Suifenhe City,Heilongjiang Province,Heilongjiang Province People's Hospital,Suifenhe157300,China

    【Abstract】 ObjectiveTo study the disease progress and treatment of severe myocarditis.MethodsFrom February 1999～December 2002 admitted 50 patients with severe acute viral myocarditis analysis.ResultsThe three cases of acute deaths,1 patient died of acute pulmonary edema,2 patients died of cardio-cerebral syndrome.Remaining 6 cases showed abnormal ECG changes.ConclusionThe incidence of acute viral myocarditis,abrupt,rapid progression,often in a short time severe heart failure,arrhythmia,cardiogenic shock, acute pulmonary edema,heart and brain syndrome and multiple organ damage,etc.,saving treatment inappropriate,often children can be life threatening. ......