肚痛 莫輕視 ,兒童肚痛變心肌炎

肚痛

 肚痛 變心肌炎?

台灣一名5歲男童因發燒、 肚痛 等類感冒症狀到診所求診。父母為他塗藥膏後仍無改善,於是將兒子送院,男童在送院途中休克死亡。經法醫檢查後,認為男童是因心臟疾病死亡。據悉男童離世前10小時並無明顯病徵,只是發燒、嘔吐、肚痛。

心肌炎 是什麼

心肌炎,顧名思義是心臟肌肉發炎性疾病,可以使心肌發炎、壞死、或是心肌細胞分解,原因大多是心肌直接受到病毒感染、細菌 (如白喉) 的毒性產物、 或是感染後引起的延遲性免疫反應所導致。簡言之就是感染某一種細菌或是病毒後,心臟肌肉受到發炎性破壞,最後使整個心臟死亡的疾病。其中病毒是最主要的致病原,常見是腸病毒中的克沙奇病毒 B 型和腺病毒,但是其他病毒亦有可能成為病因。

心肌炎是恐怖的兒童奪命殺手,死亡率高達 50% ~ 70%。

心肌炎 易被延遲治療?

心肌炎一開始的病徵像小感冒,感冒病毒順著血流跑到心臟肌肉裏,造成心肌發炎。若是很輕微的發炎,往往都沒有任何症狀就自行痊癒或是最後變成 “不明原因擴張性心肌病變”。小朋友年紀愈小,病程進展愈快愈猛。猝死情況常發生在小於一歲的嬰兒。

如何預防心肌炎發生

要如何避免心肌炎發生? 說真的,暫時沒有預防方法。心肌炎就像一只小惡魔。它不知道何時會突然出現,或何時會突然帶走一個完全沒有預料自己死期的人。有不少心肌炎的病例是發生在生活作息正常、每天都有運動的健康人身上。因此,當小朋友生病時,不要只在乎小朋友有沒有發燒,大家必須留意以下事宜:

  1. 不是退燒就代表病好
  2. 多留意小朋友的食慾
  3. 留意小朋友有否呼吸過速,氣喘情況
  4. 有否冒冷汗
  5. 小朋友是否活力差

T e x t : H O H O K F O N  G      E D I T O R I  A L
P H O T O : H O H O K FO N G      E D I T OR I A L

SOURCE: 衛生署

04 / 01 /  2020


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A 5-year-old boy from Taiwan went to the clinic for a cold, fever and other symptoms. His parents did not improve after applying the ointment, so he sent his son to hospital and the boy died of shock on the way to the hospital. After forensic examination, the boy was believed to have died of heart disease. It is reported that the boy had no obvious symptoms 10 hours before his death, but only fever, vomiting and abdominal pain.

What is myocarditis

Myocarditis, as the name suggests, is an inflammatory disease of the heart muscle, which can cause inflammation, necrosis, or breakdown of myocardial cells. Most of the reasons are that the heart muscle is directly infected by a virus, a toxic product of bacteria (such as diphtheria), or delayed immunity after infection Caused by the reaction. In short, it is a disease in which the heart muscle is inflammatoryly damaged after infection with a certain bacterium or virus, and eventually the entire heart is dead. Among them, the virus is the most important pathogen. Commonly known are enteroviruses such as Kxach virus B and adenovirus, but other viruses may also be the cause.

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