暴发性心肌炎的诊断困境与管理

Diagnostic dilemmas and management of fulminant myocarditis.

作者信息

Ahmar W, Leet A, Morton J

机构信息

Departments of Cardiology, The Melbourne Heart Centre, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.

出版信息

Anaesth Intensive Care. 2007 Feb;35(1):117-20. doi: 10.1177/0310057X0703500119.

DOI:10.1177/0310057X0703500119

PMID:17323679

Abstract

Myocarditis is commonly a diagnosis of exclusion. We report a case of fulminant myocarditis in a patient with cardiogenic shock in whom the initial diagnosis was unclear. Early supportive care including extracorporeal membrane oxygenation and intra-aortic balloon pump were instituted. Complete recovery of cardiac function was achieved. This case highlights the difficulty in diagnosing myocarditis and the benefits of early intensive support.

摘要

心肌炎通常是一种排除性诊断。我们报告一例暴发性心肌炎患者，该患者出现心源性休克，最初诊断不明确。早期给予了包括体外膜肺氧合和主动脉内球囊反搏在内的支持治疗。心脏功能完全恢复。该病例凸显了心肌炎诊断的困难以及早期强化支持治疗的益处。