在发性新生儿肠病毒性心肌炎之后的广泛心肌化
Inês Noites1,2, Sofia Guedes1,3, Madalena Ferreira1,4
1Pediatric Intensive Care Unit, Pediatrics Department, Unidade Local de Saúde de Santa Maria, Lisbon, PRT.
Cureus
|December 22, 2025
概括
心肌化是一种新生儿心肌炎的罕见并发症,可能是不可逆转的心脏损伤的信号. 早期对这种化的成像识别可以帮助诊断重症婴儿的预后.
科学领域:
- 儿科 儿科 儿科
- 心脏病学 心脏病学
- 新生儿科学 新生儿科学
背景情况:
- 发性新生儿心肌炎是一种罕见的,危及生命的疾病.
- 心肌化是患有心肌炎的新生儿的一种不常见的并发症.
研究的目的:
- 报告新生儿心肌炎与心肌化病例.
- 突出心肌化作为不可逆转心肌损伤的潜在标志物.
主要方法:
- 一个七天大的新生儿患有肠道病毒性心肌炎的案例报告.
- 使用心声回声和胸部X射线成像.
- 参与静脉脉外体膜氧化 (VA-ECMO) 的支持.
主要成果:
- 新生儿患有心脏性休克,需要VA-ECMO.
- 连续成像显示肌肉心脏回声性和化增加.
- 临床过程显示持续的心脏功能障碍和多器官衰竭.
结论:
- 心肌化可能表明新生儿心肌炎中不可逆转的心肌损伤.
- 识别渐进的回声性和化提供预后价值.
- 这有助于评估疾病的严重程度,并指导对患有心肌炎的新生儿的临床决策.
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