Clinical analysis of fulminant myocarditis in children
Yu Xia
Yuan Yue
Wang Qin
Shao Wei
Cui Lang
Wang Ying
Abstract：Objective To investigate clinical characteristics of children with fulminant myocarditis . Methods The 50 cases of fulminant myocarditis were retrospectively analyzed .The children′s gender, age, clini-cal manifestations , treatment and prognosis were summarized .Results Among fifty cases of fulminant myocarditis in children,16 cases(32.0%) had digestive tract symptoms, 14 cases (28.0%) had cardiovascular symptom, 8 cases (16.0%) had nervous system symptoms .Asperger syndrome was the primary symptom in 26.0%of chil-dren;46 cases (92.0%) had abnormal electrocardiogram;positive rate of myocardial enzyme index and heart col-or doppler flow imaging were 48.0%(24 cases) and 50.0%(25 cases);32 cases were given immunoglobulin in-fusion;44 cases had prednisolone; 28 cases with Ⅲ degree atrioventricular block had temporary pacemaker in-stalled based on the comprehensive treatment .4 cases were given final permanent pacemaker installation .6 cases had lidocaine;7 cases had amiodarone;8 cases were given synchronous cardioerter .17 tachycardia was termina-ted;one case had temporary pacemaker installed after converting sinus rhythm;2 cases with ventricular fibrillation died.Conclusions Most of children with fulminant myocarditis have diverse symptoms and most are not typical ;misdiagnosis rate is high .Comprehensive analysis of the results of electrocardiogram ,echocardiography and myocar-dial enzymology markers may improve the diagnosis of fulminant myocarditis and may also indicate the severity and prognosis.
Keywords：MyocarditisAsperger syndromeAtrioventricular blockTemporary pacemaker
Publication Date：2014-09-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 1277-1279 )