| 小儿β受体功能亢进症误诊为病毒性心肌炎分析 |
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| 引用本文： | 马江妮,刘文利.小儿β受体功能亢进症误诊为病毒性心肌炎分析[J].基层医学论坛,2010,14(1):17-18. |
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| 作者姓名： | 马江妮 刘文利 |
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| 作者单位： | 西安市儿童医院,陕西,西安,710002 |
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| 摘 要： | 目的探讨小儿β受体功能亢进症误诊为病毒性心肌炎的原因及如何诊断小儿β受体功能亢进症。方法回顾性分析21例β受体功能亢进症的临床资料。结果β受体功能亢进症出现交感神经兴奋症状及心电图ST—T改变，但高频心电图正常，心得安试验阳性。结论临床症状及心电图改变是小儿β受体功能亢进症误诊为病毒性心肌炎的主要原因。高频心电图对β受体功能亢进症和病毒性心肌炎的鉴别诊断有参考价值，心得安试验是鉴别β受体功能亢进症与器质性心脏病的一种有效手段。
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| 关 键 词： | β受体功能亢进症 病毒性心肌炎 误诊 分析 |
Analysis of β-adrenergic receptor hyperfunction in children being misdiagnosed as viral myocarditis |
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| Ma Jiangni,Liu Wenli.Analysis of β-adrenergic receptor hyperfunction in children being misdiagnosed as viral myocarditis[J].Public Medical Forum Magazine,2010,14(1):17-18. |
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| Authors: | Ma Jiangni Liu Wenli |
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| Institution: | Ma Jiangni,Liu Wenli. Xi \'an Children\'s Hospital,Xi \'an,Shaanxi 710002 |
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| Abstract: | Objective To explore the causes of β-adrenergic receptor hypezthymidism in children misdiagnosed as viral myocarditis and how to diagnose β -adrenergic receptor hyperfunction. Methods Analyzed retrospectively the clinical data of 21 cases of β -adrenergic receptor hyperfunction. Results β -adrenergic receptor hyperfunction has sympathetic excited symptoms,ST-T changes in ECG, normal in high-frequency ECG and propranolol test positive. Conclusion Clinical symptoms and ECG changes is the main reason for which β -adrenergic receptor hyperthyroidism in children was misdiagnosed as viral myocarditis. High-frequency ECG has reference value in the differential of β-adrenergic receptor hyperthyroidism and viral myocarditis.Propranolol test is an effective means to identify β -adrenergic receptor hyperthyroidism with heart disease. |
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| Keywords: | β-adrenergic receptor hyperfunction Viral myocarditis Misdiagnosis Analysis |
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