CAJ | 학술논문

目的探讨小儿爆发性心肌炎的临床特点及护理措施。方法分析了我院儿科收治的15例小儿爆发性心肌炎的临床资料及护理措施。结果本组暴发性心肌炎患儿中，男5例，女10例，年龄6月~12岁；临床表现多样，以心外表现为首发症状；Ⅲ度房室传导阻滞3例，心源性休克4例，阿斯综合征2例，酶学及肌钙蛋白异常6例；15例经积极综合治疗和精心护理，好转12例，死亡3例(急性肺水肿1例，呼吸窘迫综合征1例，心脑综合征1例)。结论小儿暴发性心肌炎起病急骤、病情进展迅速、死亡率高，因此要早期诊断、积极综合治疗和采取针对性护理措施才是降低死亡率的关键。
목적탐토소인폭발성심기염적림상특점급호리조시。방법분석료아원인과수치적15례소인폭발성심기염적림상자료급호리조시。결과본조폭발성심기염환인중，남5례，녀10례，년령6월~12세；림상표현다양，이심외표현위수발증상；Ⅲ도방실전도조체3례，심원성휴극4례，아사종합정2례，매학급기개단백이상6례；15례경적겁종합치료화정심호리，호전12례，사망3례(급성폐수종1례，호흡군박종합정1례，심뇌종합정1례)。결론소인폭발성심기염기병급취、병정진전신속、사망솔고，인차요조기진단、적겁종합치료화채취침대성호리조시재시강저사망솔적관건。
Objective Fulminant myocarditis in children: clinical characteristics and nursing measures Method Analysis of the pediatric hospital treated 15 cases of fulminant myocarditis in children clinical data and nursing measures. Result This group of fulminant myocarditis in children, male 5 cases, female 10 cases, aged from June to12; the clinical manifestation is diverse, with extracardiac manifestations; third degree atrioventricular block in 3 cases,4 cases of cardiogenic shock, Aspen syndrome 2 cases, enzymes and cardiac troponin abnormality in 6 cases;15 cases positive comprehensive treatment and careful nursing,12 cases improved,3 cases died ( in 1 cases of acute pulmonary edema, respiratory distress syndrome in 1 cases, brain syndrome : report of 1 cases ). Conclusion Acute fulminant myocarditis in children sudden onset, rapid disease progression, mortality is high, so early diagnosis, active treatment and taking pertinent nursing measures is the key to reducing mortality.