兒童暴發性心肌炎臨床特點結論與參考文獻

　　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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