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手足口病对儿童心肌影响的研究

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目的:探讨手足口病(HFMD)对儿童心肌的影响。方法:对89例住院的手足口病患儿和健康查体儿童90例,行肌酸激酶同工酶(CK-MB)、心电图和心脏肌钙蛋白I(cTnI)检查。结果:HFMD患儿与对照组比较,CK-MB及cTnI的水平及异常率明显升高(P<0.01);HFMD患儿心电图异常率73.0%,ST-T改变为主要表现;HFMD患儿CK-MB与cTnI呈正相关。结论:手足口病易致患儿心肌损伤,心肌酶谱和cTnI明显升高。心电图多出现异常改变。早期检测血清心肌酶、cTnI水平结合心电图检查可以较好判断HFMD患儿的心肌损害程度,并为临床早期诊断和治疗提供依据。
A STUDY OF MYOCARDIAL effect on children with HAND, FOOT AND MOUTH DISEASE
To explore the effect of Hand-Foot-Mouth Disease(HFMD) on myocard of children.Methods:we have examined and recorded myocardial enzymes, eletrocarclogram and cTnI in 89 children cases with HFMD,and in 90 cases of children in depantment of childen health care over the same period.Results:The levels and abnormality rate of myocardial enzymes and cTnI in serum were increased in children with HFMD than those in controls(P<0.01); The abnormality rate of ECG in the children with HFMD was 73.0%, ST-T changes was the main abnormality; Partial correlation analysis indicates that CK-MB positively correlated to cTnI.Conclusion:The myocardial damage occurs easly in children with HFMD. myocardial enzymes and cTnI were significantly increased. Most of the ECG abnomal changes. Measuring of myocardial enzyme, cTnI and ECG in early stage can be wel judged the extent of myocardial damage in children with HFMD, and it’s could provide the basis for early clinical diagnosis and therapy.

Hand, foot and mouth diseaseMyocardCK-MBcTnI

李雷、王珍丽、杜宁

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青岛市妇女儿童医院感染科 山东 青岛 266011

青岛市传染病医院肝病三科 山东 青岛 266011

手足口病 心肌 肌酸激酶-同工酶 肌钙蛋白I

2014

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2014.(7)
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