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105例支气管肺炎心肌酶谱变化的临床分析 被引量:7

Clinical analysis of changes in myocardial enzyme spectrum for 105 cases of bronchopneumonia
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摘要 目的探讨支气管肺炎患儿心肌酶变化的临床意义。方法选择支气管肺炎患儿105例,其中轻症79例,重症26例,另选45例健康儿童为对照组。检测血清天门冬氨酸转氨酶(AST)、乳酸脱氢酶(LDH)、α-羥丁酸脱氢酶(α-HBDH)、肌酸肌酶(CK)及其同功酶(CK-MB)等指标。结果与对照组比较,观察组患儿的心肌酶高于对照组,差异有统计学意义(P<0.01)。重症组上述指标明显高于轻症组(P<0.01),差异有统计学意义。结论支气管肺炎患儿可能存在心肌损害,对心肌酶谱的检测,有助于判断病情和指导治疗。 Objective To explore the changes in myocardial enzyme in children with bronchopneumonia and its clinical significance. Methods One hundred and five children with bronchopneumonia, including 79 mild cases and 26 severe cases, were enrolled in this study. Forty-five healthy children were selected as the control group. The indexes ofAST, LDH, α-HBDH, CK and CK-MB were measured. Results Compared with the control group, the patients'myocardial enzyme spectrum indexes were significantly increased (P〈0.01). The severe cases'indexes are significantly higher than the mild cases' (P〈0.01). Conclusion The children with bronchopneumonia may have myocardial injury. Myocardial enzyme test is helpful for the diagnosis and treatment of patients.
出处 《海南医学》 CAS 2013年第8期1132-1133,共2页 Hainan Medical Journal
关键词 支气管肺炎 心肌酶 儿童 Bronchopneumonia Myocardial enzyme Children
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