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目的:通过对新生儿心肌炎的临床表现、治疗进行分析,提高基层医院对该病的认识,做到早期诊治。方法:对近3年我科收治的10例新生儿心肌炎,进行临床特异性症状及体征、实验室检查及诊治进行回顾性分析。结果:本组患儿临床表现无明显特异性,10例患儿中均有心肌酶异常,心电图表现异常6例,病毒抗体检测阳性5例,合并先天性心脏病2例,心影扩大1例。经积极治疗,6例痊愈,2例好转,1例转院,1例自动放弃治疗。结论:新生儿心肌炎临床表现不典型,早期发现,积极诊治,大部分预后良好。
Objective: To analyze the clinical manifestations and treatment of neonatal myocarditis, and to improve the understanding of the disease in primary hospitals so as to make early diagnosis and treatment. Methods: Ten cases of neonatal myocarditis admitted to our department in the past three years were retrospectively analyzed for clinical symptoms and signs, laboratory tests and diagnosis and treatment. Results: There was no obvious clinical manifestations in this group of children. All 10 patients had abnormal myocardial enzymes, 6 abnormal ECG findings, 5 positive cases of virus antibodies, 2 cases of congenital heart disease and 1 case of cardiac arrest. After active treatment, 6 cases recovered, 2 cases improved, 1 case transferred to hospital and 1 case gave up treatment automatically. Conclusion: The clinical manifestations of neonatal myocarditis are not typical, early detection, active diagnosis and treatment, most of the prognosis is good.