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心肌炎可引起多种心律失常,严重者常危及患者生命。笔者近二年来收治3例急性心肌炎致Ⅲ度房室传导阻滞(Ⅲ°AvB)患儿,病情均严重,且1例多次发生心室颤动,经积极治疗取得较好疗效,现报告如下。病历摘要例1,女,10岁,因发热、头晕、乏力、上腹轻痛3日,胸闷,气短6小时于1985年5月22日入院,T37.8℃、R36、P40、BP96/68。精神差,面色苍白,咽微充血,两肺(-),第一心音强弱不等,可闻及第四心音和“大炮”音,心律不齐,心尖区Ⅱ级柔软收缩期杂音,肝肋下1.5cm。末梢血WBC8000N49％,血沉
Myocarditis can cause a variety of arrhythmias, severe cases often endanger the lives of patients. The author admitted to the past two years, 3 cases of acute myocarditis caused by Ⅲ degree atrioventricular block (Ⅲ ° AvB) in children with serious illness, and 1 case of multiple ventricular fibrillation, active treatment achieved good results, are as follows. Case history 1, female, 10 years old, due to fever, dizziness, weakness, upper abdominal tenderness 3, chest tightness, shortness of breath 6 hours on May 22, 1985 admission, T37.8 ℃, R36, P40, BP96 / 68 . Poor spirit, pale, pharyngeal micro-congestion, lungs (-), the first heart sound intensity range, can be heard and the fourth heart sound and “cannon” sound, arrhythmia, apical soft systolic murmur Ⅱ, Liver ribs 1.5cm. Peripheral blood WBC8000N49%, ESR