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目的:探讨希恩综合征并垂体危象患者的心肌酶谱增加的原因。方法:将50例希恩综合征患者分为垂体危象组(31例)、无垂体危象组(19例)2组,分别监测2组的心肌酶,分析垂体危象组患者的肌酸激酶(CK)与血糖、血钠、血钾、皮质醇、FT3、FT4、TSH的关系。结果:与无垂体危象组比较,垂体危象组心肌酶更高、血钠更低(P<0.01)。CK与血钠呈负相关。结论:希恩综合征并发垂体危象有更高的心肌酶,主要与低血钠有关。
Objective: To investigate the causes of increased myocardial enzymes in patients with Schwann syndrome and pituitary crisis. Methods: Fifty patients with Schwann syndrome were divided into two groups: pituitary crisis group (n = 31) and pituitary crisis group (n = 19). The levels of creatine kinase Relationship between CK and blood sugar, serum sodium, serum potassium, cortisol, FT3, FT4, TSH. Results: Compared with no pituitary crisis group, the pituitary crisis group had higher myocardial enzymes and lower serum sodium (P <0.01). CK and serum sodium was negatively correlated. Conclusions: Sheen syndrome complicated with pituitary crisis has higher myocardial enzymes, mainly associated with hyponatremia.