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目的探讨心电图改变在小儿病毒性心肌炎临床诊断中的作用。方法选择西华县人民医院收治的确诊为病毒性心肌炎患儿86例,分析其心电图及其他辅助检查对病毒性心肌炎的诊断价值。结果 86例病毒性心肌炎患儿中70例(81.40%)心电图表现异常者的临床资料,以心律失常为最常见,其次为ST-T段改变;心电图异常率与心肌酶、超声心动图、胸部X线检查异常率比较差异有统计学意义(P<0.05)。结论心电图改变对早期发现和诊断小儿病毒性心肌炎、了解患儿的预后及指导临床用药具有较高的参考价值。
Objective To investigate the role of ECG changes in the clinical diagnosis of viral myocarditis in children. Methods 86 cases of viral myocarditis diagnosed in Xihua County People’s Hospital were selected for diagnosis of viral myocarditis by electrocardiogram and other auxiliary examinations. Results The clinical data of 70 patients (81.40%) with electrocardiogram abnormalities in 86 children with viral myocarditis were arrhythmia, followed by ST-T changes. The abnormality of electrocardiogram correlated with myocardial enzymes, echocardiography, chest X-ray abnormal rate was significantly different (P <0.05). Conclusion ECG changes early detection and diagnosis of viral myocarditis in children, to understand the prognosis of children and guide the clinical use of drugs with high reference value.