观察以腹痛为初始表现的小儿心肌炎的临床特点进行分析
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摘要
目的分析研讨以腹痛为初始表现的小儿心肌炎的临床特点。方法随机从我院2013年1月至2017年12月收治的小儿心肌炎患儿中抽取30例纳入到讨论中,回顾分析其病历资料,患儿发病后初始表现均为腹痛,分析其临床特点,并观察其治疗效果。结果 30例患儿接受综合治疗5d后,腹痛有所减轻,体温正常,21例治愈,4例好转,5例无变化。7~10d后,无腹痛症状,咽喉病症消失。结论临床需加大对初始表现为腹痛的小儿心肌炎的重视度和关注度,及时动态监测其心肌酶学、心电图状况,以免发生误诊漏诊,错失疾病治疗最佳时机。
Objective To analyze the clinical features of pediatric myocarditis with abdominal pain as the initial performance.Methods Random Ly selected 30 children with myocarditis from January 2013 to December 2017 in our hospital were included in the discussion.Retrospective analysis of the medical records,the onset of the disease after the onset of abdominal pain,analysis of its clinical characteristics,and observe the therapeutic effect.Results After 5 days of comprehensive treatment,30 children had some relief of abdominal pain and normal body temperature.21 patients were cured,4 patients improved,and 5 patients had no change.After 7~10 days,there was no symptoms of abdominal pain and throat symptoms disappeared.Conclusion It is necessary to increase the attention and attention of infantile myocarditis with abdominal pain,and monitor the status of myocardial enzyme and electrocardiogram in time so as to avoid misdiagnosis and miss the best time to treat the disease.
Objective To analyze the clinical features of pediatric myocarditis with abdominal pain as the initial performance.Methods Random Ly selected 30 children with myocarditis from January 2013 to December 2017 in our hospital were included in the discussion.Retrospective analysis of the medical records,the onset of the disease after the onset of abdominal pain,analysis of its clinical characteristics,and observe the therapeutic effect.Results After 5 days of comprehensive treatment,30 children had some relief of abdominal pain and normal body temperature.21 patients were cured,4 patients improved,and 5 patients had no change.After 7~10 days,there was no symptoms of abdominal pain and throat symptoms disappeared.Conclusion It is necessary to increase the attention and attention of infantile myocarditis with abdominal pain,and monitor the status of myocardial enzyme and electrocardiogram in time so as to avoid misdiagnosis and miss the best time to treat the disease.
引文
[1]李秀春,高智勇,李俊兰.超声心动图诊断小儿心肌炎舒张功能的研究[J].实用心脑肺血管病杂志,2016,24(b4):301.
[2]邵华.动态心电图与血清CK-MB诊断急性病毒性心肌炎的价值[J].中国妇幼保健,2017,32(13):3062-3064.
[3]陈慧玲,杨巧芳,王彦利,等.病毒性心肌炎病原学特征分析[J].中华医院感染学杂志,2016,26(15):3406-3408.
[4]朱新发.腹外疾病所致儿童腹痛37例临床分析[J].实用医院临床杂志,2017,14(3):77-78.
[5]杨婷,陈妙莲,梁宏开,等.体外膜肺氧合治疗重症登革热合并暴发性心肌炎1例报告[J].中华危重病急救医学,2015,10(4):317-318.
[6]易琼,戴飞跃,周波,等.体外膜肺氧合联合体外球囊反搏及血液净化救治暴发性心肌炎1例[J].临床心血管病杂志,2015,11(12):1365-1366.
[7]孙洋,赵红,宋来凤,等.巨细胞心肌炎三例的组织形态学及超微结构观察及其临床治疗[J].中华病理学杂志,2015,44(2):123-127.
[8]宁尚秋,伊比然恨,尼玛,等.成年女性急性心肌炎的临床特点分析[J].心肺血管病杂志,2017,36(5):334-337.
[9]谢剑昶,来蕾,徐鹏,等.暴发型病毒性心肌炎的临床特点分析[J].中华全科医师杂志,2015,14(1):24-28.
[10]高见书,汪芳.心电图表现酷似急性冠状动脉综合征的急性病毒性心肌炎20例临床分析[J].中国动脉硬化杂志,2015,23(3):307-309.
[2]邵华.动态心电图与血清CK-MB诊断急性病毒性心肌炎的价值[J].中国妇幼保健,2017,32(13):3062-3064.
[3]陈慧玲,杨巧芳,王彦利,等.病毒性心肌炎病原学特征分析[J].中华医院感染学杂志,2016,26(15):3406-3408.
[4]朱新发.腹外疾病所致儿童腹痛37例临床分析[J].实用医院临床杂志,2017,14(3):77-78.
[5]杨婷,陈妙莲,梁宏开,等.体外膜肺氧合治疗重症登革热合并暴发性心肌炎1例报告[J].中华危重病急救医学,2015,10(4):317-318.
[6]易琼,戴飞跃,周波,等.体外膜肺氧合联合体外球囊反搏及血液净化救治暴发性心肌炎1例[J].临床心血管病杂志,2015,11(12):1365-1366.
[7]孙洋,赵红,宋来凤,等.巨细胞心肌炎三例的组织形态学及超微结构观察及其临床治疗[J].中华病理学杂志,2015,44(2):123-127.
[8]宁尚秋,伊比然恨,尼玛,等.成年女性急性心肌炎的临床特点分析[J].心肺血管病杂志,2017,36(5):334-337.
[9]谢剑昶,来蕾,徐鹏,等.暴发型病毒性心肌炎的临床特点分析[J].中华全科医师杂志,2015,14(1):24-28.
[10]高见书,汪芳.心电图表现酷似急性冠状动脉综合征的急性病毒性心肌炎20例临床分析[J].中国动脉硬化杂志,2015,23(3):307-309.