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轮状病毒感染对婴幼儿心肌损伤的临床分析
作者:张利  
单位:广东省深圳市南山区西丽人民医院
关键词:轮状病毒 婴幼儿 心肌损伤 心肌酶谱 
分类号:
出版年·卷·期(页码):2015·43·第三期(343-346)
摘要:

[摘要] 目的:研究分析轮状病毒感染对婴幼儿心肌的损伤及相关影响。方法:抽取2012年1月至2014年1月我院收治的轮状病毒感染患儿164例作为研究对象,根据是否发生心肌损伤将患儿分为观察组60例与对照组104例。对两组患儿的心电图、心肌酶谱和cTn-I进行检测对比。分析年龄、机体代谢紊乱等因素对轮状病毒感染患儿心肌功能的影响并比较观察组患儿经治疗前后心肌酶谱指标的变化。结果:观察组CK、CK-MB、AST、LDH、LDH1、CTn-I、LDH1/LDH2测定值明显高于对照组 (两组比较,均有P<0.05,均具统计学意义)。经相关因素分析得年龄≤1岁、中重度脱水、腹泻、低钾血症以及酸中毒为发生心肌损伤的高危因素。经治疗后心肌损伤的患儿心肌酶谱指标比治疗前均明显降低。结论:轮状病毒感染患儿容易发生心肌损伤,且年龄≤1岁、中重度脱水、腹泻、低钾血症以及酸中毒为发生心肌损伤的高危因素。临床上应加强对患儿心肌酶谱的检测,在治疗腹泻基础上注意对心肌功能的保护,做到早诊早治,以避免患儿心肌功能的进一步损伤。

[Abstracts]Objective: To study rotavirus infection in myocardial injury of infants and young children and relevance effect . Methods: 164 cases of rotavirus infection children hospitalized in our hospital from January 2012 to January 2014 were selected as the research objects , according to whether to have myocardial injury , the patient children were divided into Observation group (n=60) and Control group(n=104). Electrocardiogram 、myocardial enzymes and cTn-I of two groups were compared .Ages 、metabolism disorder and so on to influence the myocardial function of patient children with rotavirus infection were analyzed and the changes of myocardial enzyme spectrum indexes before and after treatment of patient children of Observation group were compared . Results: Observation group CK、CK-MB、AST、LDH、LDH1、CTn-I、LDH1/LDH2 measured value and myocardial injury rate were obviously higher than those of Control group ( the two groups were compared , both were P<0.05 , they both had statistical significance) . Age≤1 by the related factors analysis、moderately severe dehydration、diarrhea 、hypokalemia and acidosis were risk factors of myocardial damage . The patient children with myocardial injury after treatment whose myocardial enzyme spectrum indexes were significantly lower than those before treatment . Conclusion: The patient children with rotavirus infection easily have the risk factors of myocardial injury , and the ages are ≤1 age 、 moderately severe dehydration、diarrhea 、hypokalemia and acidosis are risk factors of myocardial damage . Strengthen the detection of myocardial enzyme spectrum for the patient children in clinic , on the basis of the treatment of diarrhea , myocardial function should be protected , early diagnosis and early treatment can avoid further injury of the myocardial function of the patient children .

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