摘要
目的 :探讨血清心肌酶在肺炎支原体肺炎急性期是否有心肌损害的参考价值及病情较重的关系。方法 :采取肘静脉血分别测定 50例肺炎支原体肺炎急性期患儿血液中心肌酶的变化 ,并对其中心肌酶异常的 39例患儿在恢复期进行复查 ,与 2 0例健康儿童做对照。结果 :急性期 CPK—MB、L DH、CPK、AST显著高于对照组 (P<0 .0 1)并与病情轻重呈正比 ,恢复期血清 CPK— MB、LDH、CPK、AST明显下降 ,但仍高于对照组 (P<0 .0 5) (P<0 .0 1)。结论 :肺炎支原体肺炎急性期有不同程度的心肌损害 ,血清 CPK— MB作为支原体肺炎心肌损害的生化指标特异性强 ,并有一定的参考价值。在治疗支原体肺炎的同时应注意心肌损害 ,积极给予保护心肌治疗。
Objective:[WT5BZ][ST5BZ]To evaluate the value of Myocatdial Enzyms in children with acute mycoplasmal Pneumonia and the significance of diagnosis and prognosis.[WT5HZ]Method:[WT5BZ]The value of Myocardial Enzyms in 50 children were measured,the secondary measured of 39 children in its recovery phase.20 normal children served as contrast group.[WT5HZ]Result:[WT5BZ]The value of CPK MB,LDH,CPK and AST were sighificantlly higher than that of contrast group in acute phase(P<0.01),and the value keep pace with the staet of illness.Although the value were descended In recovery phase,it was still higher than of contrast group (P<0.05,P<0.01).[WT5HZ]Conclusion:[WT5BZ]Children with mycoplasmal Pneumonia may combine myocardial injures and CPK MB is aparameter to diagonose the injures.Protection therapy of cardiac muscle should bedone for children with mycoplasmal Pneumonia. [WT5HZ]
出处
《河北医学》
CAS
2000年第10期900-902,共3页
Hebei Medicine
关键词
支原体肺炎
心肌酶谱
儿童
血清
Mycoplasmal Pneumonia
Myocardial Enzyms
Children
