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血清肌钙蛋白I(cTnI)是心肌细胞损伤的高度敏感和特异的标志。采用血清肌钙蛋白I的单克隆抗体ELISA法测定50例带状疱疹患者血清肌钙蛋白I(cTnI)。结果显示:重症带状疱疹患者(3例)。cTnI明显增高(35.7~100ug/L),并伴有乏力,心悸和心动过速等心肌损害的临床症状、体征;70.8%(17/24)的中等病情者cTnI增高(7.6~43.0ug/L.),但临床上无明显心肌损害的症状、体征;在上述20例。cTnI增高的病人中,3例有心电图改变(部分ST-T改变,心律失常);本组病人中所有轻症患者(23例)和少部分中等病情者(29.2%,7/24)的cTnI值在正常范围(0~7ug/L)。结果表明:在带状疱疹患者中,水痘带状疱疹病毒可侵犯心肌细胞和导致心肌损伤,这种心肌损害常呈亚临床型。重症患者,特别是皮损泛发的患者,病毒侵犯心肌的可能性增高,在临床应引起重视。
Serum troponin I (cTnI) is a highly sensitive and specific marker of cardiomyocyte injury. Serum troponin I (cTnI) was measured in 50 patients with herpes zoster by ELISA using monoclonal antibodies to serum troponin I. The results showed: patients with severe herpes zoster (3 cases). cTnI was significantly increased (35.7 ~ 100ug / L), accompanied by clinical symptoms and signs of myocardial damage such as fatigue, palpitations and tachycardia; while the cTnI was increased in moderately relapsed patients (70.8% ), But no clinically significant symptoms of myocardial damage, signs; in the above 20 cases. Among the patients with elevated cTnI, 3 had electrocardiographic changes (some ST-T changes and arrhythmia). All patients with mild disease (23 patients) and a small number of moderately ill patients (29.2%, 7/24) had cTnI Value in the normal range (0 ~ 7ug / L). The results show that in patients with herpes zoster, varicella-zoster virus can invade cardiomyocytes and lead to myocardial damage, which often subclinical myocardial damage. Severe patients, especially patients with lesions extensive, the possibility of virus invasion of the heart increased, should pay attention in the clinical.