ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (4): 284-287.

• 儿科罕见病专栏 • 上一篇    下一篇

酷似急性心肌梗死的小儿急性心肌心包炎1例临床分析并文献复习

  

  • 出版日期:2022-08-25 上线日期:2023-11-29

Pediatric acute myocardial pericarditis similar to acute myocardial infarction: clinical analysis of one case and literature review

  • Published:2022-08-25 Online:2023-11-29

摘要: 目的 探讨小儿急性心肌心包炎与急性心肌梗死的早期鉴别。方法 对1例酷似急性心肌梗死的小儿急性心肌心包炎病例进行临床表现、心肌标志物、心电学特征的分析并行相关文献复习。结果 小儿急性心肌心包炎与急性心肌梗死有相似临床表现及心电图ST-T抬高,危险因素及冠脉造影有异。结论 儿童急性心肌心包炎患者与急性心肌梗死可根据详细询问病史、心电学演变特征及冠脉造影做出早期鉴别。

关键词: 心肌心包炎, 心肌梗死, 心电图鉴别, 儿童

Abstract: ObjectiveTo explore the early differentiation between pediatric acute myocardial pericarditis and acute myocardial infarction.MethodsAnalyze the clinical manifestations, myocardial markers and electrocardiographic characteristics of a case of pediatric acute myocardial pericarditis similar to acute myocardial infarction and make a literature review.ResultsIt was found that pediatric acute myocardial pericarditis and acute myocardial infarction had similar clinical manifestations and electrocardiogram ST-T elevation, but were different in the risk factors and coronary angiography.ConclusionThe early identification of pediatric acute myocardial pericarditis and acute myocardial infarction can be made according to the detailed inquiring medical history, electrocardiographic evolution characteristics and coronary angiography.

Key words:

Myocardial pericarditis, Myocardial infarction, Electrocardiogram identification, Children