中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
4期
116-117,118
,共3页
小儿手足口病%暴发性心肌炎%治疗效果
小兒手足口病%暴髮性心肌炎%治療效果
소인수족구병%폭발성심기염%치료효과
Children with hand foot and mouth disease%Fulminant myocarditis%Efficacy
目的：探讨小儿手足口病并暴发性心肌炎的临床治疗效果。方法：选择近期笔者所在医院收治的4例小儿手足口病并暴发性心肌炎患儿，首先对所有患儿进行常规治疗，之后根据具体病情给予患儿布洛芬、维生素及更昔洛韦治疗，观察治疗前后变化并分析疗效。结果：所有患儿病情得到明显改善，临床症状基本消失，心电图基本恢复正常，血清肌酸激酶同工酶(CK-MB)为(25.47±15.23)U/L、乳酸脱氢酶(LDH)为(54.45±32.46)U/L，较治疗前(59.76±19.38)、(217.22±54.26)U/L显著下降(P<0.05)。结论：采用对症治疗的方法治疗小儿手足口病并暴发性心肌炎患儿，不仅能够提高患儿的病愈率，还能增强患儿的身体素质，治疗效果显著，值得临床推广应用。
目的：探討小兒手足口病併暴髮性心肌炎的臨床治療效果。方法：選擇近期筆者所在醫院收治的4例小兒手足口病併暴髮性心肌炎患兒，首先對所有患兒進行常規治療，之後根據具體病情給予患兒佈洛芬、維生素及更昔洛韋治療，觀察治療前後變化併分析療效。結果：所有患兒病情得到明顯改善，臨床癥狀基本消失，心電圖基本恢複正常，血清肌痠激酶同工酶(CK-MB)為(25.47±15.23)U/L、乳痠脫氫酶(LDH)為(54.45±32.46)U/L，較治療前(59.76±19.38)、(217.22±54.26)U/L顯著下降(P<0.05)。結論：採用對癥治療的方法治療小兒手足口病併暴髮性心肌炎患兒，不僅能夠提高患兒的病愈率，還能增彊患兒的身體素質，治療效果顯著，值得臨床推廣應用。
목적：탐토소인수족구병병폭발성심기염적림상치료효과。방법：선택근기필자소재의원수치적4례소인수족구병병폭발성심기염환인，수선대소유환인진행상규치료，지후근거구체병정급여환인포락분、유생소급경석락위치료，관찰치료전후변화병분석료효。결과：소유환인병정득도명현개선，림상증상기본소실，심전도기본회복정상，혈청기산격매동공매(CK-MB)위(25.47±15.23)U/L、유산탈경매(LDH)위(54.45±32.46)U/L，교치료전(59.76±19.38)、(217.22±54.26)U/L현저하강(P<0.05)。결론：채용대증치료적방법치료소인수족구병병폭발성심기염환인，불부능구제고환인적병유솔，환능증강환인적신체소질，치료효과현저，치득림상추엄응용。
Objective:To investigate the clinical efficacy of the treatment of children with hand foot and mouth disease complicated by fulminant myocarditis.Method:4 cases of children with hand foot and mouth disease recently received in our hospital,firstly we adopted the routine treatment and the administered ibuprofen,vitamins and ganciclovir to the children based on their detailed conditions,observed the changes and analyzed the efficacy.Result:4 cases got improved,clinical symptoms almost disappeared and their ECG returned to normal.Besides,the serum creatine kinase isoenzyme(CK-MB) was (25.47±15.23)U/L and lactate dehydrogenase(LDH) was (54.45±32.46)U/L,which were lower than those of before treatment[(59.76±19.38)U/L,(217.22±54.26)U/L,P<0.05].Conclusion:The use of symptomatic treatment in children with hand foot and mouth disease complicated by fulminant myocarditis can effectively improve the the cure rate and their physical fitness,and the efficacy is significant,is worthy of clinical promotion and application.
