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目的对小儿病毒性心肌炎的临床诊治情况进行分析,为临床提供理论依据。方法选择2010年3月—2012年12月收治的病毒性心肌炎患儿48例,患儿均卧床休息,以减轻心脏负荷。给予辅酶A+葡萄糖注射液+维生素静脉滴注,2次/d,同时予以抗病毒、抗休克等对症治疗。复方丹参注射液静脉滴注,2次/d。连续治疗15d。结果 48例患儿经治疗后痊愈占56.25%,显效占20.83%;有效,占12.50%,总有效率89.58%。结论小儿病毒性心肌炎临床表现多样,需及时诊断,采用复方丹参注射液进行治疗,疗效显著。
Objective To analyze the clinical diagnosis and treatment of viral myocarditis in children and provide the theoretical basis for clinical practice. Methods Forty-eight children with viral myocarditis admitted to our hospital from March 2010 to December 2012 were enrolled in this study. All children underwent bed rest in order to reduce their cardiac burden. Give coenzyme A + glucose injection + vitamin intravenous infusion, 2 times / d, at the same time be antiviral, anti-shock and other symptomatic treatment. Compound Danshen injection intravenously, 2 times / d. Continuous treatment 15d. Results 48 cases of children recovered after treatment accounted for 56.25%, effective accounted for 20.83%; effective, accounting for 12.50%, the total effective rate of 89.58%. Conclusions The clinical manifestations of viral myocarditis in children are diverse and need timely diagnosis. The treatment with compound Danshen injection has significant curative effect.