【作者】 孙妍; 韩波; 庄建新; 韩秀珍;
【Author】 SUN Yan,HAN Bo,ZHUANG Jian-xin,HAN Xiu-zhen(Department of Pediatrics,Provincial Hospital Affiliated to Shandong University,Jinan 250021,Shandong,China)
【机构】 山东大学附属省立医院儿科;
【摘要】 目的探讨炎症性心肌病的临床特点。方法收集20例炎症性心肌病患儿的病史、体格检查及随访资料,对比分析患儿治疗前后的心电图、胸部X片、超声心动图及心功能测定等变化。结果 20例炎症性心肌病患儿,发病年龄2岁3个月~11岁8个月,随访8个月~3年3个月。患儿在患病前1~4周均有感染史,临床表现为咳嗽、胸闷、气促和心音低钝,实验室检查主要为炎性指标升高,超声心动图示左房左室大、室壁运动幅度减低和左室射血分数降低,心电图示ST-T改变和期前收缩,胸部X线摄片为肺淤血和心脏扩大。经过治疗,临床痊愈2例,好转11例,2例病情无变化,死亡3例,失访2例。结论炎症性心肌病可发生于任何年龄,临床表现为急/慢性心功能不全,预后较好,部分可治愈。 更多还原
【Abstract】 Objective To explore the clinical features of inflammatory cardiomyopathy.Methods The detailed history,physical examination,and follow-up data in 20 children with inflammatory cardiomyopathy were examined.Comparison was made with electrocardiogram,X-ray,echocardiography and cardiac function before and after treatments.Results The age at onset ranged from 2.25 to 11.67 years in 20 children with inflammatory cardiomyopathy.They all had a history of 1-4 weeks of infection.Clinical symptoms included... 更多还原 【关键词】 炎症性心肌病; 心功能不全; 心肌损伤; 【Key words】 inflammatory cardiomyopathy; cardiac insufficiency; myocardial injury;
【分类号】R725.4
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