儿科感染性心肌炎致严重房室传导阻滞的诊断及治疗.pdfVIP

海南民学院学报 2∞9 ， 15(3 ) J~~~{~iHai~n Medical College 259 儿科感染性心肌炎致严重房室传导阻滞的诊断及治疗 逮军，何波 (海口市人民医院，沟南海口 570208) [摘要]町的:探讨儿科感染性心肌炎敖严重房室传导阻滞的诊断及治疗。方锋:对2 例严重房室传导 阻滞患儿进行临床诊断、治疗，并进行 1-3 个月随访。结果:1 例治愈，1 例好转。结抢:在心电图确诊 为严重房室传导阻滞后，应在药物治疗的同时及时安直临时起搏器。 [关键词]心肌炎;心脏传导阻滞;儿童 [中图分类号] R542. 2 +1; 盯41. 7+6 [文献标识码] A [文章编号] 1007-1237(2009)03-0259 -03 Diagnosis and treatment of severe atrioventricular block resulted from myocarditis in pe- diatrics LU Jun , HE Bo (Department 01 PediatT町，的ikou Peoples Hospital ， 的iKou 570208 , Chinα) [ ABSTRACT ] Objective: To disuss the diagnosis and treatment of severe atrioventricular block resulted from myocarditis in pediatrics. Methods: 2 pediatric patients with serious atrioventricular block resulted from myo- carditis were treated with 1-3 months follow-up. Results: One case was cured and the other showed improvement. Conclusion: Once a patient was confirmed by electrocardiogram (ECG) as severe atrioventricular block , medica- tion should be applied in time and if necessary , temporary pacemaker installment as well. [ KEY WORDSJ Myocarditis; Atrioventricl血r block; Pediatrics 儿科感染性心肌炎致心律失常以快速心律失常 块，肝、脾不大，肠呜音正常。实验宰检奇:血常规正 多见，如频发早搏、阵发性军上速等。随着儿科临床 常，电解质正常，心肌酶: AST 157 IU/L , CK 701 诊治技术的发展，对儿科严重慢性心律失常的诊断 IU/L , CK-MB 30 IU/L , LDH 293 IU/L ,Tnl O. 1 ng/ mLo ECG( 图 1):(1)3 度房室传导阻滞(3 度 和治疗水平也相应提高。儿科严重慢性心律失常如 2 度 2 理房室传导阻滞、高度房室传导阻滞、3 度 AVB); (2) 完全性左束支传导阻滞;(3 )QRS 呈间歇 性右束支及间歇左束支阻滞图形。心脏彩超:左心 (完全性)房室传导阻带等如不及时诊治可严重威 增大，左室前壁运动减弱，心包少量积液，左室收缩 胁患儿牛命。本文就近年儿科收治的2 例感染性心