Some time ago, Song Song (pseudonym), a 2-year-old girl from Zhejiang, had symptoms of high fever, cough and runny nose, and was diagnosed with "B flu" after doing relevant laboratory tests in the outpatient clinic.
Recently, Song Song's parents found out,The child is always shouting tired,"We are asked to hold us at every turn, and we refuse to walk." Song Song was originally a lively and energetic child, and the attentive parents immediately took the child to the local hospital for medical treatment for the sake of insurance.
After a detailed medical history, the doctor learnedSong Song had soreness and weakness in his lower limbs, and his appetite became much worse than usual。This series of symptoms aroused the vigilance of the doctor, and arranged for Song Song to urgently check the cardiac enzyme indicators and improve the electrocardiogram, echocardiology** and other examination items. Sure enough, the child's cardiac enzymes in the blood were abnormally elevated, and the echocardiogram** suggested that the left ventricle was dilated and the left ventricular function was lowAll indications indicate that the main culprit of this disease is myocarditis
When it comes to myocarditis, especially fulminant myocarditis, it is often talked about. The main reason is that myocarditis is difficult to recognize in the early stage and the disease progresses rapidly, and once symptoms occur, active treatment is often requiredIf it is not timely, it will lead to irreversible consequences and even death.
The doctor said that fortunately, the parents were sent to the hospital in time and the diagnosis was confirmed quickly. The pediatric team immediately gave positive measures after discussion, including the use of gamma globulin and glucocorticoids. Happily,A week later, Song Song's fatigue improved significantly, and the re-examination of cardiac enzymes and cardiac ultrasound basically returned to normal.
Triggers of myocarditis
These viruses often have cardiomyophilic characteristics (such as coxsackievirus, parvovirus, influenza virus, etc.), which cause cardiomyocytes to be damaged to varying degrees; On the other hand, due to the overreaction of the body's own immune system, it will also "indiscriminately" attack normal cardiomyocytes while fighting the virus. The doctor reminded the majority of parents,After being "hit" during the high incidence of influenza, if your child has some related "danger signs", you still need to be extra vigilant.
There are three stages after the virus enters the heart muscle cells.
Of course, after the patient is exposed to the first hormone, it is not necessarily the disease, and if there is a trigger, myocarditis is easy to occur. The main triggers include: fever, strenuous exercise or overexertion, trauma, lack of oxygen, exposure to cold, overheating, long-term exposure to radiation, malnutrition, childbirth or surgery.
How to identify the "red flag" of myocarditis at an early stage? In this regard, the reporter interviewed Zhong Chao, head of the Department of Pediatrics of the Second Affiliated Hospital of Guilin Medical College.
Dr. Chung saidIf the child has persistent leg pain, numbness, dizziness, fatigue, lack of energy, paleness, cyanosis, chest tightness, chest pain, abdominal pain and vomiting after the cardiomyocyte virus invades the body, it is recommended that parents take their children to seek medical attention in timeAvoid missing out on the best window.
*丨Comprehensive Orange Persimmon Interactive, the Second Affiliated Hospital of Guilin Medical College.