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    兒童暴發性心肌炎臨床特點結論與參考文獻

    時間:2015-05-12 來源:未知 作者:傻傻地魚 本文字數:3584字
    本篇論文快速導航:
    第1部分:兒童暴發性心肌炎臨床治療經驗
    第2部分:58例AFM患兒的門診與電話隨訪
    第3部分:兒童暴發性心肌炎的研究結果與討論
    第4部分:兒童暴發性心肌炎臨床特點結論與參考文獻
    第5部分:心肌炎的診斷與治療文獻綜述

      結論
      
      1.兒童暴發性心肌炎起病急,病情兇險,病死率高,首發癥狀以胸悶、胸痛及乏力多見。

      2.暴發性心肌炎患兒肌韓蛋白的陽性檢測率高于肌酸激酶同工酶。

      3.EB病毒、柯薩奇病毒、巨細胞病毒、單純皰瘆病毒、細小病毒及腺病毒是兒童暴發性心肌炎較常見病原,其中EB病毒更為常見。

      4.肌酸激酶同工酶與氨基腦鈉肽前體顯著升高、心電圖顯示病理性Q波、左室射血分數顯著減低的暴發性心肌炎患兒死亡率高。

      5.心臟磁共振成像檢查可顯示暴發性心肌炎患兒病變心肌T2加權像異常高信號與禮延遲增強信號,為臨床安全、有效及無創的心肌炎檢測手段之一。

      6.大劑量靜脈注射免疫球蛋白可降低暴發性心肌炎患兒的死亡率。


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