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暴发性白喉性心肌炎

Fulminant diptheretic myocarditis.

作者信息

Havaldar P V, Patil V D, Siddibhavi B M, Sankpal M N

出版信息

Indian Heart J. 1989 Jul-Aug;41(4):265-9.

PMID:2807364
Abstract

Five cases of fulminant diphtheritic myocarditis are described. Among them, three had extensive faucial diphtheria. Two had minor ECG abnormalities like low voltage QRS complexes. One of the three cases of severe diphtheria had atrioventricular dissociation, one developed LBBB leading to complete heart block, and the last one had ventricular tachycardia. Three of the five children died; all of them had major ECG abnormalities. Prognosis was also related to SGOT levels.

摘要

本文描述了5例暴发性白喉性心肌炎。其中,3例有广泛的咽白喉。2例有轻微的心电图异常,如QRS波群低电压。3例严重白喉患者中,1例出现房室分离,1例发展为左束支传导阻滞并导致完全性心脏传导阻滞,最后1例出现室性心动过速。5名儿童中有3例死亡;他们均有严重的心电图异常。预后也与谷草转氨酶水平有关。

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