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소아 급성 심근염의 내원 시 주 증상과 예후의 관련성

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Author(s)
김윤정김여향최희정
Keimyung Author(s)
Choi, Hee Joung
Department
Dept. of Pediatrics (소아청소년학)
Journal Title
Keimyung Medical Journal
Issued Date
2014
Volume
33
Issue
1
Keyword
Abdominal painCardiomegalyMyocarditisShock
Abstract
We evaluated the clinical characteristics of acute myocarditis children, especially chief complaints
on first visit at a hospital and prognosis. A retrospective descriptive study was conducted to
identify patients with myocarditis who presented over a 10-year span at a regional tertiary
hospital. Patients were identified based on the international classification of diseases 10,
diagnostic codes. Total 18 patients were enrolled in the study. The patients had a median age of
16 months and 61% of them were male. Common chief complaints were shortness of breath,
lethargy, cough or palpitation. Of the patients, 5 patients showed gastrointestinal symptoms such
as vomiting, abdominal pain and loose stool as initial symptoms. Eighty nine percent of patients
had cardiomegaly on chest x-ray, and 72% of patients had an abnormal electrocardiogram
results. On first admission, 4 patients were died and 3 of them showed vomiting and abdominal
pain as first chief complaints. These data suggest that abdominal pain and vomiting may be chief
complaints of acute myocarditis. And myocarditis patients who showed gastrointestinal symptoms
initially had poor prognosis. In addition, to distinguish an acute myocarditis, cardiomegaly on
chest x-ray and an abnormal electrocardiogram may be useful.
Key Words
Alternative Title
Relationship of Chief Complaints at Hospital with Prognosis in Acute Myocarditis Children
Keimyung Author(s)(Kor)
최희정
Publisher
Keimyung University School of Medicine
Citation
김윤정 et al. (2014). 소아 급성 심근염의 내원 시 주 증상과 예후의 관련성. Keimyung Medical Journal, 33(1), 16–22.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15624
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2014
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
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