结论
1.儿童暴发性心肌炎起病急,病情凶险,病死率高,首发症状以胸闷、胸痛及乏力多见。
2.暴发性心肌炎患儿肌韩蛋白的阳性检测率高于肌酸激酶同工酶。
3.EB病毒、柯萨奇病毒、巨细胞病毒、单纯疱瘆病毒、细小病毒及腺病毒是儿童暴发性心肌炎较常见病原,其中EB病毒更为常见。
4.肌酸激酶同工酶与氨基脑钠肽前体显著升高、心电图显示病理性Q波、左室射血分数显著减低的暴发性心肌炎患儿死亡率高。
5.心脏磁共振成像检查可显示暴发性心肌炎患儿病变心肌T2加权像异常高信号与礼延迟增强信号,为临床安全、有效及无创的心肌炎检测手段之一。
6.大剂量静脉注射免疫球蛋白可降低暴发性心肌炎患儿的死亡率。
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