摘要
目的观察婴幼儿支气管肺炎患儿血清心肌酶的变化,以便在诊治过程中及时采取干预措施。方法选择住院支气管肺炎患儿160例,其中轻症支气管肺炎130例(轻症肺炎组),重症支气管肺炎30例(重症肺炎组)。另选30名健康儿童作为对照组。测定肺炎患儿急性期、恢复期及对照组儿童血清天门冬氨酸转氨酶(AST)、乳酸脱氢酶(LDH)、肌酸激酶(CK)及其同功酶(CK-MB)、肌钙蛋白(cTnT)等心肌酶指标。结果与对照组相比,肺炎组患儿血清AST、LDH、CK、CK-MB、cTnT水平均有不同程度的升高;且重症肺炎组上述指标明显高于轻症肺炎组(P<0.01)。与急性期相比,恢复期心肌酶指标均趋向正常水平。结论支气管肺炎患儿心肌有不同程度的损害,病情越重,心肌酶升高越明显。
Objective Evaluate the clinical significance of serum myocardial enzyme in infant with bronchial pneumonia.Methods 160 children with bronchopneumoniawere selected for this study.Of these 160 children,130 cases had mild pneumonia （mild pneumonia group） and 30 cases had severe bronchial pneumonia （severe pneumonia group）.30 healthy children were selected as control.The period of acute phase,serum aspartic acid transaminase （AST）,lactate dehydrogenase （LDH）,creatine kinase （CK）,creatine kinase myocardial bound （CK-MB）,troponin （cTnT） and myocardial enzymes were determined.Results The levels of serum AST,LDH,CK,CK-MB,cTnT were significantly increased in both the mild and severe pneumonia group （P＆lt;0.01）.The extend of elevation in the severe pneumonia group was higher than the mild pneumonia group （P＆lt;0.01）.Conclusion The increase in the level of myocardial enzyme is correlated with the damage and severity of bronchial pneumonia.
出处
《热带医学杂志》
CAS
2013年第8期991-993,共3页
Journal of Tropical Medicine
关键词
支气管肺炎
婴幼儿
心肌酶
bronchial pneumonia
infants
myocardial enzymes
