儿童传染性单核细胞增多症并发心肌炎的临床分析

目的探讨儿童传染性单核细胞增多症并发心肌炎的临床特点。方法回顾分析56例儿童传染性单核细胞增多症的临床表现、实验室检查及预后转归。结果并发心肌炎者达7.14%,临床上除有发热、咽峡炎等外,尚出现精神萎靡、心慌、心累、面色苍白、心音低钝等临床表现;3种心肌细胞损伤标志物及心肌酶谱升高;心电图异常等临床特点。结论儿童传染性单核细胞增多症是全身性疾病,绝大多数患儿预后良好,但重症病例预后差。对于起病急,进展快,多系统损害者,应积极排除并发心肌炎的可能。

The clinical analysis of children with infectious mononucleosis complicated by myocarditis

Objective To study the clinical characteristics of the children′s infectious mononucleosis of concurrent myocarditis.Methods The clinical manifestation,laboratory examination and prognosis outcome of 56 children infectious mononucleosis cases were analyzed retrospetively.Results The concurrent myocarditis occurrence rate was 7.14%.There were not only clinical performances like fever,angina,but also withering,flustered,heart tired,pale and heart sounds low blunt.There were also clinical characteristics like the increase of the three kinds of myocardial cell damage markers and myocardial enzymes and other abnormal clinical characteristics.Conclusion Children′s infectious mononucleosis is systemic disease.Most children prognosis are good,but not in severe cases with poor prognosis.As for the nasty,fast,multi system damage,the concurrent myocarditis should be ruled out.