CAJ | 학술논문

暴发性心肌炎是儿童及青少年心源性猝死发生的常见原因之一。心肌细胞损伤或免疫介导的心肌组织炎性病变导致心脏结构及功能的严重损伤，常在数小时内极速发展为心源性休克，病死率极高，若患者在最初的干预治疗中恢复则预后良好。了解暴发性心肌炎血流动力学变化是快速识别、诊断及干预治疗的关键，本文拟对此做一介绍。
폭발성심기염시인동급청소년심원성졸사발생적상견원인지일。심기세포손상혹면역개도적심기조직염성병변도치심장결구급공능적엄중손상，상재수소시내겁속발전위심원성휴극，병사솔겁고，약환자재최초적간예치료중회복칙예후량호。료해폭발성심기염혈류동역학변화시쾌속식별、진단급간예치료적관건，본문의대차주일개소。
Fulminant myocarditis is one of the most common diseases causing sudden cardiac death in pediatrics and young adults.The pathophysiology of fulminant myocarditis involves both direct myocyte dysfunction and immune-mediated tissue injury,which result in severe damage in cardiac structure and func-tion.It always rapidly developed into cardiogenic shock in several hours.Despite the high mortality rate,if pa-tient response well to a series of progressive treatment,most of them would get complete resolution.Better understanding of the hemodynamic changes of fulminant myocarditis is the key point of rapid diagnosis and proper interventional treatment.In this article we made a summary introduction of those hemodynamic chan-ges in fulminant myocarditis.