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短期静脉注射脉冲式皮质类固醇治疗急性暴发性淋巴细胞性心肌炎取得显著疗效：病例报告

Dramatic Improvement of Acute Fulminant Lymphocytic Myocarditis with Short-course Intravenous Pulse Corticosteroids: A Case Study.

作者信息

Elasfar Abdelfatah, Suliman Salma, Ahmad Al Hijji Mohammed, Badr Amr, Al-Bozom Issam, Patel Ashfaq

机构信息

Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.

Department of Cardiology, Tanta University, Tanta, Egypt.

出版信息

Heart Views. 2024 Apr-Jun;25(2):92-97. doi: 10.4103/heartviews.heartviews_134_23. Epub 2024 Oct 10.

DOI:10.4103/heartviews.heartviews_134_23
PMID:39619097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11604196/
Abstract

We report a 31-year-old patient with acute fulminant myocarditis, resulting in cardiogenic shock that necessitated mechanical circulatory support, who improved dramatically after treatment with intravenous (IV) pulse steroids. A coordinated multidisciplinary team was the key secret in the cure of this critical patient. In this case study, we focus on the role of IV pulse steroids in the treatment of fulminant lymphocytic myocarditis.

摘要

我们报告了一名31岁的急性暴发性心肌炎患者，该患者出现心源性休克，需要机械循环支持，在接受静脉注射（IV）冲击性类固醇治疗后病情显著改善。一个协调一致的多学科团队是治愈这名重症患者的关键秘诀。在本病例研究中，我们重点关注静脉注射冲击性类固醇在暴发性淋巴细胞性心肌炎治疗中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/dd37aa5114ea/HV-25-92-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/c633a1487b79/HV-25-92-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/6f49f96d11ae/HV-25-92-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/0441b4b4503a/HV-25-92-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/fc6fb97bd9a3/HV-25-92-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/e381ba2b7090/HV-25-92-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/6157419545f1/HV-25-92-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/1e329a4d8329/HV-25-92-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/dd37aa5114ea/HV-25-92-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/c633a1487b79/HV-25-92-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/6f49f96d11ae/HV-25-92-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/0441b4b4503a/HV-25-92-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/fc6fb97bd9a3/HV-25-92-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/e381ba2b7090/HV-25-92-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/6157419545f1/HV-25-92-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/1e329a4d8329/HV-25-92-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab6/11604196/dd37aa5114ea/HV-25-92-g008.jpg

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本文引用的文献

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Eur Heart J Case Rep. 2022 Jan 18;6(2):ytac026. doi: 10.1093/ehjcr/ytac026. eCollection 2022 Feb.
2
Endomyocardial Biopsy in Pediatric Myocarditis and Dilated Cardiomyopathy: A Tool in Search for a Role.小儿心肌炎和扩张型心肌病的心内膜心肌活检：探寻其作用的一项工具
J Cardiovasc Dev Dis. 2022 Jan 12;9(1):24. doi: 10.3390/jcdd9010024.
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Recognition and Initial Management of Fulminant Myocarditis: A Scientific Statement From the American Heart Association.
暴发性心肌炎的识别和初步处理：美国心脏协会的科学声明。
Circulation. 2020 Feb 11;141(6):e69-e92. doi: 10.1161/CIR.0000000000000745. Epub 2020 Jan 6.
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Cardio-Immunology of Myocarditis: Focus on Immune Mechanisms and Treatment Options.心肌炎的心脏免疫学：聚焦免疫机制与治疗选择
Front Cardiovasc Med. 2019 Apr 12;6:48. doi: 10.3389/fcvm.2019.00048. eCollection 2019.
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Fulminant myocarditis: Characteristics, treatment, and outcomes.暴发性心肌炎：特征、治疗及预后
Anatol J Cardiol. 2018 Apr;19(4):279-286. doi: 10.14744/AnatolJCardiol.2017.8170. Epub 2018 Mar 13.
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Corticosteroids for viral myocarditis.用于病毒性心肌炎的皮质类固醇。
Cochrane Database Syst Rev. 2013 Oct 18;2013(10):CD004471. doi: 10.1002/14651858.CD004471.pub3.