摘要
目的分析急性上呼吸道感染合并心肌炎患者的临床特点,并检测动态心电图。方法收集2012年5月至2017年5月43例上呼吸道感染合并心肌炎的患者,定义为心肌炎组;另选择同期健康体检的40例为对照组,观察两组患者的心功能情况,并分析心肌酶谱和心脏损伤相关指标与对照组的差异。结果急性上呼吸道合并心肌炎的患者主要临床症状为胸闷、胸痛以及呼吸困难。对患者进行心肌酶和心肌损伤标志物的结果显示相关的指标均在发病后1周开始上升然后下降。病毒性心肌炎的患者可以出现多样的心律失常。结论急性上呼吸道感染并发心肌炎早期临床症状不明显,需要提高警惕,采取综合措施监测患者心功能情况,及时治疗防止心源性猝死等严重事件发生。
Objective The analysis of the clinical features of patients with acute upper respiratory infection complicated with myocarditis,and monitoring dynamic electrocardiogram.Method From May 2012 to May 2017,43 cases of upper respiratory tract infection with myocarditis were defined as myocarditis group.In addition,40 cases of healthy physical examination during the same time were selected as the control group.To observe the heart function of two groups of patients,the difference between myocardial enzyme pattern and heart injury related indicators was compared with those in the control group.Result The main clinical symptoms of acute upper respiratory infection with myocarditis are chest distress,chest pain and dyspnea.The results of the myocardial enzymes and markers of myocardial injury in patients showed that the related indicators began to increase at one week after onset of illness can experience various arrhythmias.Conclusion The early clinical symptoms of upper respiratory tract with myocarditis are not obvious,it＇s need to monitor the patient＇s heart function and to prevent sudden cardiac death and other serious events in time.
作者
迎梅
额尔敦
YING Mei;Erdon(The second internal medicine The First surgery department Armed police Inner Mongolia Unit hospital,Huhhot 010020 China)
出处
《内蒙古医学杂志》
2018年第7期781-783,共3页
Inner Mongolia Medical Journal
关键词
急性上呼吸道感染
心肌炎
心肌酶
acute upper respiratory infection
myocarditis
myocardial enzyme
