111 cases (male 50

female 61 cases) of acute Keshan disease in children of east Sichuan province were reported from April 1971 to October 1972. The date of clinical manifestation laboratory examinations and pathologic findings were analysed. Epidemiologically

the disease morbidity was highest in the months of June and July

nearly 90% of patients were 2-5 years of age with sex prevalence. Clinical features showed that various types of prodromal symptoms were obvious

90% manifestated acute heart failure. In children ectopic arrhythmia was seen less than ia adult

but once it happened

shock or sudden death frequently followed. Druing 2 years follow-up period

41 cases died

the mortality rate was 36.9% TheX-ray

ECG and pathologic changes were briefly discussed and the scheme for treatment illustrated