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目的探讨CK及CK-MB对儿童心肌炎的诊断价值。方法对54例儿童心肌炎按现在国内通用的诊断标准进行复核和确认,进行回顾性分析,观察血液中CK及CK-MB在儿童心肌炎病患儿中的变化情况。结果心肌炎组与正常参考值比较显著增高,P<0.05。血清CK-MB及OK-MB/CK:心肌炎与正常对照组比较P<0.001。结论对54例心肌炎儿童患者检测,发现CK、CK-MB比正常儿童均有不同程度的增高,同时发现与成人心肌梗死(AMI)相比,虽然CK、CK-MB变化较小,但CK-MB/CK变化的比值要比AMI组为大,这与有关文献相符。
Objective To investigate the diagnostic value of CK and CK-MB in children with myocarditis. Methods Fifty-four children with myocarditis were reviewed and confirmed according to the diagnostic criteria commonly used in China. The changes of CK and CK-MB in children with myocarditis were observed retrospectively. Results myocarditis group was significantly higher than the normal reference value, P <0.05. Serum CK-MB and OK-MB / CK: myocarditis compared with the normal control group P <0.001. Conclusions The results showed that CK and CK-MB in 54 children with myocarditis were higher than those in normal children. Compared with adult myocardial infarction (AMI), CK and CK- The ratio of MB / CK changes was larger than that of AMI group, which was consistent with the literature.