摘要
目的分析新型冠状病毒肺炎(新冠肺炎)患者心脏相关评估指标,为新冠肺炎患者救治及预后评估提供依据。方法采用回顾性研究方法,以2020年1月21日—2月20日期间我院收治的95例新冠肺炎患者作为研究对象,根据临床症状将患者分为危重型组(14例),重型组(40例)和普通型组(41例),对比分析3组患者心肌损伤标志物和心电图。结果危重型组和重型组年龄分别为(64.2±13.2)岁和(60.0±13.0)岁,均显著高于普通型组的(50.0±16.5)岁(P均<0.05)。重型组AST、LDH及危重型组CK升高率均高于普通型组(P均<0.05),其中LDH绝大多数为轻度升高。心电图异常以T波改变为主,未见恶性心律失常。结论新冠肺炎患者心脏指标异常多见于危重型组和重型组,与年龄和基础疾病相关,LDH升高最多见,但程度较轻,心电图异常以T波改变为主。
Objective To analyze heart related assessment index in patients with COVID-19 and provide evidence for evaluating prognosis and treating patients with COVID-19.Methods From January 21st to February 20th 2020,a total of 95 patients with COVID-19 admitted to our hospital were included in this retrospective study.The included patients were divided into 3 groups according to their clinical symptoms:critical group(n=14),severe group(n=40)and common group(n=41).Myocardial injury markers and electrocardiogram of the 3 groups were compared and analyzed.Results The age of critical group and severe group was(64.2±13.2)years and(60.0±13.0)years,which was significantly higher than that in common group(50.0±16.5)years(P<0.05).Compared with the common group,the proportion of elevated AST and LDH in severe group and the proportion of elevated CK in critical group increased(P<0.05).In most of cases,LDH elevated slightly.The abnormal electrocardiogram was mainly T wave change,and no malignant arrhythmia was found.Conclusions Patients with critical and severe COVID-19 are susceptible to abnormal cardiac indicators,which are related to age and underlying diseases.Elevated LDH is the most frequently observed,but to a lesser degree.The abnormal electrocardiogram is mainly T wave change.
作者
童裕维
蔡水江
谢志伟
李粤平
蔡卫平
雷春亮
TONG Yu-wei;CAI Shui-jiang;XIE Zhi-wei;LI Yue-ping;CAI Wei-ping;LEI Chun-liang(Department of Internal medicine,Guangzhou Eighth People’s Hospital,Guangzhou Medical University,510060,China;不详)
出处
《传染病信息》
2021年第2期133-135,159,共4页
Infectious Disease Information
基金
广东省防控新型冠状病毒科技公关应急专项(2020B111105001)。
