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目的:分析小儿病毒性心肌炎的诊断和治疗方法,为小儿病毒性心肌炎的临床规范诊断和治疗提供依据。方法:选取86例小儿病毒性心肌炎患儿且对其临床表现、辅助检查及治疗效果等进行观察。结果:采用综合治疗后本组86例小儿病毒性心肌炎中治愈70例(81.4%)、有效14例(16.3%)、无效2例(2.3%),总有效率97.7%。结论:小儿病毒性心肌炎一般治疗效果较满意,但是临床上不易被认识,应仔细做心脏体检,心脏听诊发现异常者及时做心电图检查,必要时做心脏彩超、心肌酶谱检查,对重症者及时发现、监护和抢救,并防治并发症,早期明确诊断与积极综合治疗对其预后有重要的影响。
Objective: To analyze the diagnosis and treatment of viral myocarditis in children and provide the basis for clinical normative diagnosis and treatment of viral myocarditis in children. Methods: Eighty-six children with viral myocarditis were selected and their clinical manifestations, auxiliary examinations and therapeutic effects were observed. Results: After treatment, 70 cases (81.4%) were cured in 86 cases of viral myocarditis in this group, 14 cases (16.3%) were effective and 2 cases (2.3%) were ineffective. The total effective rate was 97.7%. Conclusion: The treatment effect of viral myocarditis in children is generally satisfactory. However, it is not easy to be known clinically. Heart examination should be performed carefully. Patients with abnormal cardiac auscultation should be examined in time. Echocardiography and myocardial enzyme examination should be performed if necessary. Discovery, monitoring and rescue, and prevention and treatment of complications, early diagnosis and aggressive comprehensive treatment of prognosis have a significant impact.