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目的探讨肺炎患儿血清心肌酶谱测定值及其意义。方法随机选择2009年某院105例因肺炎住院的患儿血清心肌酶谱检测结果进行分析,重点观察CK-MB的升高率与患儿年龄及体温的相关性,并按年龄组及体温组进行观察对比。结果 105例患儿中血清心肌酶指标高于正常值的分别为:CK16例(15.2%)、CK-MB59例(56.2%)、α-HBDH54例(51.4%)、LDH62例(59.0%)。其中CK-MB增高率在年龄方面:<6岁组与6岁-14岁组有显著性差异(P<0.05);在体温方面:伴有体温增高(37.5℃-39℃)组与体温正常(<37.5℃)组比较没有显著性差异(P>0.05)。结论肺炎患儿50%以上心肌酶谱超过正常值,6岁以下患儿心肌更易受损,应在治疗原发病基础上,注意保护心肌细胞。
Objective To investigate the value of serum myocardial enzymes in children with pneumonia and its significance. Methods A total of 105 hospitalized children with pneumonia were enrolled in this study. Serum enzymemyocardial enzyme-linked immunosorbent assay was used to analyze the relationship between CK-MB and age and body temperature. Observe and contrast. Results Among 105 cases, CK16 (15.2%), CK-MB59 cases (56.2%), α-HBDH54 cases (51.4%) and LDH62 cases (59.0%) were higher than the normal values. CK-MB increased rate in age: <6 years old group and 6 years -14 years old group had significant difference (P <0.05); in body temperature: with body temperature increased (37.5 ℃ -39 ℃) group and normal body temperature (<37.5 ℃) group had no significant difference (P> 0.05). Conclusions Myocardial enzymes in more than 50% of children with pneumonia are more than normal. Myocardium in children younger than 6 years old is more vulnerable to damage. Myocardial cells should be protected on the basis of the primary disease.