论文部分内容阅读
目的分析儿童 β-受体功能亢进症的误诊原因 ,提出诊断标准 ,观察倍他乐克对儿童 β-受体功能亢进症的治疗效果。方法对 2 0例患者的临床表现 ,心电图、心得安试验结果及疗效进行分析。结果 2 0例中有 12例曾有一过性心肌酶升高。 2 0例均有 ST-T改变 ,主要为 a VF导联 T波低平 ,双向或倒置等 ,心得安试验均阳性 ,多数误诊为病毒性心肌炎。应用倍他乐克 2天～ 1周心电图开始恢复正常 ;1例用药后出现支气管痉挛。结论心得安试验对诊断儿童β-受体功能亢进症有价值 ;倍他乐克疗效较好 ,副作用小。
Objective To analyze the causes of misdiagnosis of β-adrenal insufficiency in children and to put forward diagnostic criteria to observe the effect of Betaloc on the treatment of β-adrenal insufficiency in children. Methods Twenty patients with clinical manifestations, electrocardiogram, propranolol test results and efficacy were analyzed. Results Of the 20 cases, 12 had transient myocardial enzymes increased. 20 cases of ST-T changes are mainly a VF lead T wave low level, bidirectional or inverted, etc., propranolol test were positive, the majority of misdiagnosed as viral myocarditis. Application of metoprolol 2 days to 1 week ECG began to return to normal; 1 case of bronchospasm after treatment. Conclusion propranolol test for the diagnosis of β-adrenergic hyperthyroidism valuable; Betaloc has better efficacy and less side effects.