儿童暴发性心肌炎14例临床分析

摘要

目的 探讨儿童暴发性心肌炎的临床特点及诊治方法.方法 对14例儿童暴发性心肌炎患者的临床表现、辅助检查结果、诊治情况及转归结局进行回顾性分析.结果 14例患儿经治疗后治愈10例,好转2例,死亡2倒,结论临床上应注意暴发性心肌炎的早期诊断,及时治疗.对暴发性心肌炎患儿应早期应用肾上腺皮质激素及丙种球蛋白,并加强对症支持治疗,如果出现多器官功能障碍,对各脏器功能的保护非常重要.%Objective To study the clinical characteristics, diagnosis and therapy of fulminant myocarditis in children. Method 14 cases of fulminant myocarditis in our hospital were investigated retrospectively from January 2008 to December 2010. Results Among all the 14 cases, 10 recovered, 2 were improved and 2 patients died. Conclusion Early diagnosis and treatment in fulminant myocarditis are important. Corticosteroid and intravenous immunoglobulin should be used at the very beginning of the disease. If MODS happens, the protection of other organs is also very vital.