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src="https://file.bohe.cn/fhfile1/M00/75/B6/ooYBAGgnEkeATic0AATPChCMbYM438.jpg"></p><p>柯薩奇病毒、腺病毒、流感病毒等是導(dǎo)致寶寶心肌炎的常見(jiàn)病原體。病毒通過(guò)血液侵犯心肌細(xì)胞，引發(fā)炎癥反應(yīng)。治療需在醫(yī)生指導(dǎo)下使用抗病毒藥物，同時(shí)配合臥床休息以減少心臟負(fù)荷。</p><p>鏈球菌、葡萄球菌等細(xì)菌感染可能引發(fā)化膿性心肌炎。細(xì)菌毒素直接損傷心肌或通過(guò)免疫反應(yīng)間接造成損害。治療需針對(duì)性使用抗生素，嚴(yán)重時(shí)需住院進(jìn)行靜脈給藥和心功能監(jiān)測(cè)。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/75/6D/o4YBAGgnEkeAOOxgAAE3IpO6jLM614.jpg"></p><p>部分寶寶在感染后出現(xiàn)過(guò)度免疫反應(yīng)，免疫系統(tǒng)錯(cuò)誤攻擊自身心肌組織。這種情況可能需要使用糖皮質(zhì)激素等免疫抑制劑，治療期間需密切觀察藥物。</p><p>某些化療藥物、抗生素或環(huán)境毒素可能對(duì)心肌產(chǎn)生直接毒性作用。發(fā)現(xiàn)藥物相關(guān)性心肌炎應(yīng)立即停用可疑藥物，必要時(shí)進(jìn)行解毒治療和心臟保護(hù)措施。</p><p>存在心臟結(jié)構(gòu)異常的寶寶更易發(fā)生心肌炎，異常血流動(dòng)力學(xué)增加心臟負(fù)擔(dān)。這類患兒需要心臟專科隨訪，部分病例需手術(shù)矯正畸形以預(yù)防心肌炎反復(fù)發(fā)作。</p><p>預(yù)防寶寶心肌炎需注意增強(qiáng)體質(zhì)，保證充足睡眠和均衡營(yíng)養(yǎng)，適當(dāng)補(bǔ)充富含維生素C的水果和富含蛋白質(zhì)的食物。避免接觸呼吸道感染患者，按時(shí)接種疫苗。恢復(fù)期患兒應(yīng)避免劇烈運(yùn)動(dòng)，定期復(fù)查心電圖和心肌酶譜。保持居住環(huán)境通風(fēng)良好，避免二手煙暴露。出現(xiàn)感冒癥狀時(shí)及時(shí)就醫(yī)，防止病情進(jìn)展為心肌炎。</p></div> <div id="ey1uvbiufh" class="f24 fc9 lh40 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