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目的:强调儿童急性暴发性心肌炎(AFM)的临床特点和预后。方法:诊断标准为:①出现严重急性心力衰竭;②超声心动图显示左心室功能障碍;③近期有病毒感染性疾病史;④无心肌病病史。结果:1998—2003年间共有11例儿童被纳入研究,中位年龄为1岁(0～9岁),就诊时的平均左室射血分数(LVEF)为22%(s=9%)。
Objective: To highlight the clinical features and prognosis of children with acute fulminant myocarditis (AFM). Methods: The diagnostic criteria were: ① severe acute heart failure; ② echocardiography showed left ventricular dysfunction; ③ recent history of viral infectious disease; ④ history of no cardiomyopathy. RESULTS: A total of 11 children were enrolled in the study between 1998 and 2003, with a median age of 1 year (0-9 years) and a mean LVEF of 22% (s = 9%) at visit.