中华心血管病杂志:中国暴发性心肌炎专家共识:推荐使用抗病毒治疗和大剂量激素

2017-09-25 佚名 国际循环

2017年9月9日,在第十届同济心血管疾病高峰论坛暨华中国际心血管大会上,发布了中国首个《成人暴发性心肌炎诊断和治疗中国专家共识(2017)》,该共识由华中科技大学同济医学院附属同济医院汪道文教授起草执笔,原文已发布于《中华心血管病杂志》9月刊。

2017年9月9日,在第十届同济心血管疾病高峰论坛暨华中国际心血管大会上,发布了中国首个《成人暴发性心肌炎诊断和治疗中国专家共识(2017)》,该共识由华中科技大学同济医学院附属同济医院汪道文教授起草执笔,原文将发布于《中华心血管病杂志》9月刊。

暴发性心肌炎的发病主要特点是起病急骤,病情进展及其迅速,患者很快出现血流动力学异常,如泵衰竭和循环衰竭、严重心律失常,并可伴有呼吸衰竭和肝肾功能衰竭,早期病死率极高。

暴发性心肌炎可发生于任何年龄,儿童及青壮年多见;可发生于任何季节,冬春季多发。

暴发性心肌炎主要由病毒感染引起,流感及副流感病毒、腺病毒及其他多种病毒均可引发。此外,自身免疫性疾病、药物毒性、药物过敏等非病毒性因素也可导致暴发性心肌炎的发病。

在救治暴发性病毒性心肌炎时,主要采取以生命支持为依托的综合救治方案。及早识别和预判,及早干预;极端负责和过细的观察,及时调整治疗方案和做细节调整;严密的生命征监护。

可抗病毒治疗,如奥司他韦、更昔洛韦,配合使用抗生素

大剂量激素应用,一般用量为200 mg/天;免疫球蛋白治疗(IVIG),10~40 g/天。

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    2017-09-27 yahu
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  6. [GetPortalCommentsPageByObjectIdResponse(id=1844863, encodeId=2b581844863bd, content=<a href='/topic/show?id=5d2f206482e' target=_blank style='color:#2F92EE;'>#专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20648, encryptionId=5d2f206482e, topicName=专家共识)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Fri Aug 03 13:29:00 CST 2018, time=2018-08-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1644594, encodeId=adee164459429, content=<a href='/topic/show?id=e3eb89e17fb' target=_blank style='color:#2F92EE;'>#血管病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89717, encryptionId=e3eb89e17fb, topicName=血管病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Sun May 06 08:29:00 CST 2018, time=2018-05-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1292385, encodeId=54331292385d4, content=<a href='/topic/show?id=a3b4554e19d' target=_blank style='color:#2F92EE;'>#抗病毒#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=55471, encryptionId=a3b4554e19d, topicName=抗病毒)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=52c7237, createdName=yahu, createdTime=Wed Sep 27 00:29:00 CST 2017, time=2017-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1292819, encodeId=d56c129281987, content=<a href='/topic/show?id=9d23554e95a' target=_blank style='color:#2F92EE;'>#抗病毒治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=55479, encryptionId=9d23554e95a, topicName=抗病毒治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ce4238, createdName=dangious, createdTime=Wed Sep 27 00:29:00 CST 2017, time=2017-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1578674, encodeId=26ca15e8674a0, content=<a href='/topic/show?id=fbf0436148a' target=_blank style='color:#2F92EE;'>#大剂量#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=43614, encryptionId=fbf0436148a, topicName=大剂量)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cd6a16418535, createdName=ms7899726347904398, createdTime=Wed Sep 27 00:29:00 CST 2017, time=2017-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=247670, encodeId=da8624e6706d, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=712c1945140, createdName=心不在烟, createdTime=Mon Sep 25 21:49:57 CST 2017, time=2017-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=247553, encodeId=af6e24e55304, content=学习了.涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Mon Sep 25 09:44:16 CST 2017, time=2017-09-25, status=1, ipAttribution=)]
    2017-09-25 心不在烟

    学习

    0

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    2017-09-25 1ddf0692m34(暂无匿称)

    学习了.涨知识

    0

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