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目的探讨手足口病并发心肌炎临床特征。方法对内蒙古民族大学附属医院儿科2007-06-2010-09收住院的儿童手足口病中28例合并病毒性心肌炎的临床资料回顾分析。结果发病年龄以3岁以下多见,临床表现除发热和皮疹外,主要有乏力、心动过速、心音低钝等,心电图和心肌酶检查明显异常。结论手足口病并发心肌损害,病情重,应早期采取综合治疗措施,可改善预后。
Objective To investigate the clinical features of hand, foot and mouth disease complicated with myocarditis. Methods A retrospective analysis was performed on the clinical data of 28 patients with viral myocarditis in children with hand-foot-mouth disease admitted to the Children’s Hospital of Inner Mongolia University for Nationalities 2007-06-2010-09. Results The onset age was more common under 3 years of age. The clinical manifestations were fever, rash, mainly weakness, tachycardia, low heart sound, and abnormal ECG and myocardial enzyme tests. Conclusion Hand-foot-mouth disease complicated with myocardial damage, serious illness, early comprehensive treatment should be taken to improve the prognosis.