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目的探讨儿童急性良性肌炎的病因、临床及实验室检查特点。方法分析26例患儿的临床及实验室资料。结果26例患儿均呈急性起病,病前有呼吸道感染21例,消化道感染5例;多发生在学龄前期和学龄期儿童,男孩多见;冬春季发病高,主要表现为双下肢肌肉疼痛和步态异常,血清肌酸磷酸激酶(CPK)增高数十倍以上,CPK的下降与临床症状的消失相平行。该病具有自限性,无特殊治疗方法。结论本病起病急,以双下肢肌肉疼痛伴步态异常为特点,CPK异常升高,预后良好。
Objective To investigate the etiology, clinical and laboratory features of children with acute myositis. Methods Clinical and laboratory data of 26 children were analyzed. Results 26 cases of children were acute onset, 21 cases of respiratory infection before infection, 5 cases of gastrointestinal infections; occurred in pre-school and school-age children, boys more common; high incidence in winter and spring, mainly for the lower extremity muscles Abnormal pain and gait, serum creatine phosphokinase (CPK) increased more than ten times, the decline in CPK parallel to the disappearance of clinical symptoms. The disease has a self-limited, no special treatment. Conclusion The onset of acute disease characterized by muscle pain with both lower extremities with abnormal gait, CPK abnormally elevated, the prognosis is good.