论文部分内容阅读
近年来,小儿病毒性心肌炎的发病率明显增加,临床表现不一,部分病例呈暴发型经过,甚至发生猝死,不少病例呈迁延性经过,本文通过75例临床资料分析该病的临床特点,并对一些存在问题,进行了探讨。一般情况本文75例的发病年龄最小为4个月,最大为14岁,全年均有发病。前驱症状中以上呼吸道感染及肠道感染症状者为多,占47例,无前驱症状者21例,唇部疱疹与麻疹各1例,肝炎5例。临床症状和体征 75例中心悸19例,心前区不适(包括胸痛、胸闷)22例,气急29例,表现浮肿者43例(面浮或/和下腿浮肿),口围发绀15例。心率超过100次以上者35例,71～100次者28例,少于70次以下者12例,其中3例少于60次。心律不齐者44例,心音低钝28例,心尖部Ⅰ～Ⅱ级收缩期杂音者29例,Ⅲ级1例,心包摩擦音2例,肝大者30例。
In recent years, the incidence of viral myocarditis in children increased significantly, clinical manifestations vary, some cases were fulminant, and even sudden death, many cases were persistent after the passage of 75 cases of clinical data analysis of the clinical features of the disease, And some problems are discussed. The general situation 75 cases of the minimum age of onset of 4 months, up to 14 years old, all year-round incidence. Among the prodromal symptoms, there were more cases of respiratory tract infections and intestinal infections, accounting for 47 cases, 21 cases without prodromal symptoms, 1 case with cold sores and measles, and 5 cases with hepatitis. Clinical symptoms and signs of 75 cases of central palpitations in 19 cases, precordial discomfort (including chest pain, chest tightness) in 22 cases, 29 cases of shortness of breath, edema in 43 cases (surface floating or / and leg swelling), 15 cases of cyanosis. Heart rate more than 100 times in 35 cases, 71 to 100 times in 28 cases, less than 70 times the following 12 cases, of which 3 cases less than 60 times. 44 cases of arrhythmia, heart sound low blunt 28 cases, apical Ⅰ ~ Ⅱ systolic murmur in 29 cases, Ⅲ grade in 1 case, 2 cases of pericardial friction fricative, hepatomegaly in 30 cases.