摘要
目的:探讨婴幼儿轮状病毒肠炎伴发心肌损害的诊治特点。方法:回顾性分析48例轮状病毒肠炎并发心肌损害患儿的临床资料。结果:本组无死亡病例,所有患者的心肌酶谱于治疗后均有下降,其中CK、CK-MB与治疗前比较差异有显著统计学意义(P<0.01),AST、LDH与治疗前比较差异无统计学意义(P>0.05)。35例心电图异常者均于治疗4周内恢复正常。结论:轮状病毒肠炎引起心肌损害的发生率较高,对轮状病毒肠炎患儿应早期常规进行心肌酶谱特别是肌酸激酶同工酶的检测,以便早诊早治,防止疾病进一步发展。
Objective：To evaluate infants with rotavirus enteritis associated with diagnostic and therapeutic features of myocardial damage.Methods：Retrospective analyzed 48 cases of rotavirus gastroenteritis in children with myocardial damage clinical data.Results：There were no deaths,myocardial enzymes in all patients were decreased after treatment,including CK,CK-MB compared with before treatment,there was significant difference（P0.01）,AST,LDH and treatment was not significantly difference（P0.05）.35 patients caught in the treatment of abnormal ECG returned to normal within 4 weeks.Conclusion：Rotavirus enteritis caused by a higher incidence of myocardial damage,early on rotavirus enteritis should be routine,especially myocardial enzyme creatine kinase test for early diagnosis and early treatment to prevent the further development of disease.
出处
《中国当代医药》
2011年第31期187-188,共2页
China Modern Medicine
关键词
轮状病毒
肠炎
心肌炎
心肌酶
心电图
Rotavirus
Enteritis
Myocarditis
Enzyme
Electrocardiogram（ECG）
