Coxsackie病毒心肌炎合併房室傳導完全阻滯之二例報告

Coxsackie Virus Myocarditis with Complete Atrioventricular Block-Two Cases Report

陳百薰(Pai-Hsun Chen) ； 吳後仁(Jiunn-Ren Wu) ； 黃德揚(Teh-Yang Huang)

《Acta Paediatrica Sinica》 21卷4期 (1980/12) Pp. 287-293

摘要

本文報告二例Coxsackie病毒心肌炎合併房室傳導完全阻滯之女孩，年齡各為6歲及15歲。二例約在發病前數天有腹痛、嘔吐等腸胃症狀，又因驚厥而住院治療。住院時兩例心電圖均呈示房室傳導完全阻滯現象。病兒在心電圖監規器及中心靜脈壓觀察下給予一般治療，並用isoproterenol靜脈點滴改善其心跳及一般狀態。此二例分別在住院第4天及第3天時有Stokes-Adams症候羣之姿生，經急救後心跳始再回復正常，情況漸趨穩定而分別在住院第14天及第27天後出院。血清學檢查在急性期及恢復期二次血清中對Coxsackie 　B2及Coxsackie B5病毒之中和抗體力價分別增加四倍。

並列摘要

Coxsackie viral myocarditis with complete atrioventricular block was rare in the literature. Two girls, one 6-year-old and the other 15-year-old, suffered from G-I symptoms of abdominal pain, vomiting and then convulsion, on account of which they were admitted to the Kaohsiung Medical College Hospital. On admission, their EKG tracings showed complete atrioventricular block, and chest X-ray films revealed cardiomegaly. Under close observation by monitoring EKGs and central venous pressures, they were given oxygen inhalation, prednisolone, and also isoproterenol intravenously for increasing their heart rates. Both of them had bradycardia and again Stokes-Adams attacks on the 4th and 3rd hospitalization day, respectively. The heart beat returned to normal sinus rhythm after resuscitation and receiving emergency aids. They were discharged in good condition, on the 14th and the 27th hospitalization day, respectively. The results of the serologic tests on the neutralizing antibody titers in acute and convalescent stages showed a fourfold increase against Coxsackie B2 in one and against Coxsackie B5 virus in another patient.

並列關鍵字

Coxsackie virus ； myocarditis ； complete atrioventricular block