Progress on mechanical circulatory support in the treatment of fulminant myocarditis in children
姜嘉琳 1韩波 1林楠
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作者信息
1. 山东第一医科大学附属省立医院（山东省立医院），济南 250021
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摘要
暴发性心肌炎是由多种病因引起的严重的心脏炎性疾病，起病隐匿、恶化急骤，早期临床症状不典型，患儿极易出现顽固性心源性休克、心力衰竭及致死性心律失常，病死率高。近年来，机械循环支持（MCS）的发展为急危重症患儿的抢救带来曙光，但由于技术发展、经济水平等因素限制，儿童MCS只能在少数医院开展，发展阶段远落后于成人。本文从不同种类MCS入手，重点阐述MCS在儿童暴发性心肌炎中的应用进展，为临床进一步开展相应技术提供理论支持。 Fulminant myocarditis is a severe heart inflammatory disease caused by a variety of causes，which are so insidious and deteriorative rapidly，with atypical early clinical symptoms，and that the patients are prone to obstinately cardiogenic shock，heart failure and fatal arrhythmia with high mortality.In recent years，the development of mechanical circulatory support（MCS）has brought light to the rescue of critically ill children.Due to factors such as technological limits and economic level，children MCS can only be carried out in a minority of superior medical establishment，which developmental stage is still lagging far behind that of adults.This review summarized the recent progress of MCS in children with fulminant myocarditis from the perspective of the multifold types of MCS for providing theoretical support for further clinical improment.
Abstract
Fulminant myocarditis is a severe heart inflammatory disease caused by a variety of causes，which are so insidious and deteriorative rapidly，with atypical early clinical symptoms，and that the patients are prone to obstinately cardiogenic shock，heart failure and fatal arrhythmia with high mortality.In recent years，the development of mechanical circulatory support（MCS）has brought light to the rescue of critically ill children.Due to factors such as technological limits and economic level，children MCS can only be carried out in a minority of superior medical establishment，which developmental stage is still lagging far behind that of adults.This review summarized the recent progress of MCS in children with fulminant myocarditis from the perspective of the multifold types of MCS for providing theoretical support for further clinical improment.
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