小儿心肌损伤能自愈吗.docx
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1、小儿心肌损伤能自愈吗 目的 探讨小儿病毒性心肌炎心电图变更的常见类型,在诊断中的价值及其对预后的影响。方法 依照我国现行的小儿病毒性心肌炎诊断标准对我院19942006年收治的病例进行筛查、核准,对符合诊断标准的86例患儿的临床资料进行回顾性总结、分析。结果 出现各种心律失常80例(占93.2%),其中伴有S-T段、T波变更27例,仅有S-T段、T波变更6例(占6.8%)。在心律失常中过早搏动34例(室性早搏16例,房性早搏17例,变界性早搏1例);异位性心动过速及房室抖动9例;传导阻滞31例(房室传导阻滞14例,束支传导阻滞15例,窦房传导阻滞2例,窦性心律失常22例)。结论 小儿病毒性心肌
2、炎的心电图变更以各种心律失常尤其是过早搏动传导阻滞最常见,少部分病例可仅有S-T段,T波变更;心电图变更是诊断心肌炎的一个重要条件;出现异位性心动过速和(或)III度房室传导阻滞或显著的S-T段,T波变更多提示病情严峻,预后不佳。 小儿;病毒性心肌炎; 心电图; 心律失常 Changes and clinical significance of ECG in infantile viral myocarditis. LiHe. The peoples hospital of Liangshan state,Sichuan Pvovince. Liangshan 615000, China. O
3、bjective To investigate the common types, diagnostic value, and effect in diagnosis of the changes in electrocardiogram of viral myocarditis in child. Methods: To observe and calibrate the cases during 1994-2006 in our hospital according to the current diagnostic criteria of viral myocarditis in chi
4、ld of China, and have retrospective analysis and summery of the clinical materials of 86 cases which were consistent with the criteria. Results 80 cases of the patients got arrhythmia(93.2 percent of all).there were 27 cases with S-T segment and T wave change; here were 6 cases with S-T segment or T
5、 wave change(6.8 percent);Among the arrhythmia there were 34 cases with premature beat(16 cases with premature ventricular contraction;17 cases with premature atrial ventricular block;2 cases with bundle branch block;15 cases with sinoatrial block);22 cases ventricular arrhythmia. ConclusionThe comm
6、on electrocardiogram change of viral myocarditis in child were different types of arrhythmia(especially premature beat and conduction blockade),a few of the cases with S-T segment and T wave change. Electrocardiogram change is very important in diagnosis of viral myocarditis in child. It suggests pa
7、thogenetic condition is serious if the electrocardiogram of the patient was ectopic tachycardia or third degree A-V block or with noticeable S-T segment and T wave change. Infantile; Viral myocarditis; ECG; Arrhythmia 近年来,病毒性心肌炎已成为儿科临床上一种较为常见的获得性血管疾病。有些重症病例,发病急、改变快,预后危急,常需抢救;另外也有一些轻型或非典型病例,诊断较困难,易导致
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- 小儿 心肌 损伤 自愈
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