10年来小儿病毒性心肌炎临床情况分析(附126例报告)

目的：了解近10年来小儿病毒性心肌炎（VM）的临床情况。方法：回顾性分析该院10年来住院VM患儿126例。结果：VM住院率由10年前的1．28％增加到1．44％，CVB－IgM检测阳性率极高。101例随访1昕以上，超声心动图发现左室肥厚1例，无1例死亡；ECG示：ST段与T波改变最多，快速性心律失常发生率不同。结论：分析结果提示VM发病率逐年增加，亲心肌细胞肠道病毒尤其是柯萨奇病毒B组（CVB）是最常见的病原；重型患儿严重心律失常发生率最高，次为心力衰竭、心源性休克。

Analysis of Clinical Conditions of Viral Myocarditis in Children in the Last 10 Years-Reports of 126 Cases

Objective: To analyze the clinical conditions of viral myocarditis in children in the last 10 years in the hospital. Methods: A retrospective analysis of 126 cases of viral myocarditis was made in inpatient children in the recent 10 years. Results: Incidence of VM increased from 1.28% to 1.44%, and CVB IgM positive rate was high. One year follow up revealed that of the 101 cases, one developed left ventricular hypertrophy and none of them died. On ECG, obvious changes could be seen in ST segment and T wave. Incidence of fast arrhythmia was low. Conclusion: The above results show that incidence of VM increases gradually year after year; myocardic facilitated enterovirus, coxsackievirus B in particular, is the most common cause of VM; in severe VM children , severe arrhythmia has the highest incidence , then comes heart failure and the next is cardiac shock.