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目的探讨流行性腮腺炎(Mumps)患儿合并心肌酶升高的临床意义。方法对119例Mumps合并心肌酶升高的患儿同时进行心肌肌钙蛋白I(cTnI)测定,结合其临床资料进行总结分析。结果19例中有16例cTnI阳性,其余呈阴性.有28例伴心电图异常。cTnI阴性组和cTnI阳性组只有肌酸激酶同功酶(CK-MB)值有非常明显差异,其余心肌酶两组间差异无统计学意义。结论Mumps合并心肌酶升高大多是一过性,是否引起心肌损害应根据CK-MB结合cTnI进行确诊。
Objective To investigate the clinical significance of elevated myocardial enzymes in children with mumps. Methods A total of 119 children with Mumps complicated with elevated myocardial enzymes were measured cardiac troponin I (cTnI) at the same time, combined with clinical data were analyzed. Results Of the 19 cases, 16 cases were positive for cTnI and the others were negative, while 28 cases had abnormal ECG. Only the creatine kinase isoenzyme (CK-MB) values in cTnI negative group and cTnI positive group were significantly different, but there was no significant difference between the other two groups. Conclusion Mumps combined with elevated myocardial enzymes are mostly transient, whether caused by myocardial damage should be based on the diagnosis of CK-MB combined with cTnI.