摘要儿童暴发性心肌炎起病急、病情严重、进展迅速,常有严重心律失常、心源性休克或心力衰竭等发生,容易导致急性期死亡.部分患儿以呼吸急促、发绀等呼吸道症状或呕吐、腹痛等消化道症状起病,容易延误诊断.发病早期及时识别并给予恰当治疗可降低病死率.该文同时介绍暴发性心肌炎血流动力学监测、体外膜肺、临时心脏起搏器等在救治中应用近况.

abstractsPaediatric fulminant myocarditis presentation occurs acute onset,rapid progress,often with serious arrhythmia,cardic shock or heart failure,which lead to death during the acute phase.Symptoms with shortness of breath,cyanosis,vomiting,abdominal pain were commonly observed,and may be easy to delay the diagnosis.Early recognition and appropriate treatment can reduce mortality of fulminant myocarditis in children.This paper also summarized the hemodynamic monitoring,extracorporeal membrane oxygenation,and circulatory support by temporary ventricular assist devices application in fulminant myocarditis.