ABSTRACT
Objective To summarize the clinical features,efficacy and prognosis of 42 children patients with severe viral myocarditis(VM).Methods To retrospecitivly analyze the clinical data about 42 children patients with severe VM.Results There were the lack of typical clinical features and ancillary inspection targets on diagnosis,and no effects on clinical treatment,so that it was being concealed in the basis of disease symptoms and delayed treatment.Amidst this group patients(42 cases)of children with severe viral myocarditis,there was 76.2% patients with the heart symptoms and 47.6% patients with serious cardiac complications(such as acute heart failure,cardiogenic shock,fatal arrhythmia).Therapeutic result:total effective rate 78.6%,morality 11.9%,14.3% to chronic.Conclusion To diagnose Viral myocarditis in children it hould be combined with the history of palpitations,chest tightness,and other clinical symptoms and objective indicators of myocardial damage.Because of no specific means of treatment,we should be focus on comprehensive treatment and timely care and rescue critically ill patients.The majority of children patients with severe VM are favorable prognosis and a very small number to chronic.