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目的讨论轮状病毒检导致婴幼儿腹泻并心肌损害的治疗。方法选择我院收治的腹泻患儿54例。进行便常规、便培养以及空腹抽取静脉血检测心肌酶谱,分析轮状病毒对患儿心肌酶学指标、体温及心率的影响。结果 54例腹泻患儿中,RV抗原检测呈阴性者31例,RV抗原检测阳性并确诊为RV肠炎者23例。两组除CK外,其余指标均超出了正常值。两组在CK-MB和心率方面有统计学差异,P<0.05;在CK、LDH、AST、体温等方面差异不显著,P>0.05。RV抗原阳性患儿经过治疗后,心肌酶学指标、体温及心率等指标均有不同程度的下降。其中:CK、CK-MB、心率在治疗前后,有统计学差异,P<0.05。LDH、AST、体温差异不明显,P>0.05。结论 RV感染容易引发腹泻患儿心肌损害,及时诊断并治疗RV对降低心肌损害具有重要意义。
Objective To discuss the treatment of rotavirus-induced infantile diarrhea and myocardial damage. Methods Select 54 cases of children with diarrhea treated in our hospital. Routine, then cultured and fasting venous blood samples were collected for the detection of myocardial enzymes in children with rotenosis, body temperature and heart rate. Results Among the 54 cases of diarrhea, 31 cases were negative for RV antigen test, 23 cases were positive for RV antigen test and confirmed as RV enteritis. In addition to CK, the other two indicators exceeded the normal values. There was a significant difference in CK-MB and heart rate between the two groups (P <0.05). There was no significant difference in CK, LDH, AST, body temperature and other aspects (P> 0.05). RV antigen-positive children after treatment, myocardial enzymes, body temperature and heart rate and other indicators have decreased in varying degrees. Of which: CK, CK-MB, heart rate before and after treatment, there was a significant difference, P <0.05. LDH, AST, body temperature difference was not significant, P> 0.05. Conclusion RV infection can easily lead to myocardial damage in children with diarrhea. It is of great significance to diagnose and treat RV in time to reduce myocardial damage.