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目的:对轮状病毒性肠炎并发病毒性心肌炎临床特点、治疗方法予以分析。方法:随机选取100例轮状病毒性肠炎腹泻患儿作为观察组,并选取同期于本院治疗的100例非轮状病毒肠炎腹泻患儿作为对照组,通过对比两组患儿心肌酶谱检测结果、心肌酶异常表现等,对轮状病毒性肠炎并发病毒性心肌炎患儿临床特点进行观察分析。结果:观察组天冬氨酸氨基转移酶(AST)、磷酸肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)明显较对照组高,轮状病毒性肠炎合并病毒性心肌炎AST、CK、CK-MB明显高于单纯轮状病毒性肠炎腹泻患儿,差异有统计学意义(P<0.05);轮状病毒性肠炎合并病毒性心肌炎患儿出现不同程度的发热、恶心呕吐、咳嗽、高热惊厥、脱水等症状,经对症处理后均痊愈出院。结论:轮状病毒性肠炎会对患儿心肌带来不同程度的损害,轮状病毒性肠炎并发病毒性心肌炎患儿可根据心肌酶谱及心电图表现进行判断。
Objective: To analyze the clinical features and treatment of viral myocarditis complicated with rotavirus enteritis. Methods: A total of 100 cases of children with rotavirus enteric diarrhea were randomly selected as the observation group and 100 children with non-rotavirus enteritis diarrhea treated in our hospital were selected as the control group. By comparing the myocardial enzymes of two groups, Results, abnormal performance of myocardial enzymes, the clinical features of children with viral enteritis complicated with viral myocarditis were observed and analyzed. Results: Aspartate aminotransferase (AST), creatine phosphokinase (CK) and creatine kinase MB (CK-MB) in the observation group were significantly higher than those in the control group. Rotavirus enteritis combined with viral myocarditis , CK, CK-MB were significantly higher than those of children with rotavirus enteritis alone, the difference was statistically significant (P <0.05); children with rotavirus enteritis and viral myocarditis had different degrees of fever, nausea and vomiting, Cough, febrile seizures, dehydration and other symptoms, were cured after symptomatic treatment were discharged. Conclusion: Rotavirus enteritis can cause different degrees of damage to the myocardium of children. Rotavirus enteritis complicated with viral myocarditis can be judged according to myocardial enzymes and electrocardiogram.