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目的:探讨感染性腹泻患儿心肌酶谱的变化情况。方法:对84例感染性腹泻患儿作心肌酶谱测定及对其中70例同时做心电图检查的患儿进行分析。结果:心肌酶谱出现异常改变着轮状病毒肠炎占76.7%、空肠弯曲菌肠炎占69.2%、细菌性痢疾占55.0%、致病性大肠杆菌肠炎占71.4%,差异无显著性(P>0.05);心电图有异常表现的分别占31.0%、40.0%、31.3%、33.3%,四者间差异无显著性(P>0.05)结论:以上各种不同病原体引致腹泻病的患儿在急性期均可有不同程度的心肌受损现象,心肌酶谱的改变均较显著,故此,对感染性腹泻患儿应常规做心肌酶谱的测定及心电图检查。
Objective: To investigate the changes of myocardial enzymes in children with infectious diarrhea. Methods: Eighty-four children with infectious diarrhea were examined for myocardial enzymes and 70 of them were examined by electrocardiogram at the same time. Results: Myocardial zymogram showed abnormal changes of rotavirus enteritis accounted for 76.7%, Campylobacter jejuni enteritis accounted for 69.2%, bacillary dysentery accounted for 55.0%, pathogenic Escherichia coli enteritis accounted for 71.4%, no significant difference (P> 0.05). There was no significant difference between the four groups (P> 0.05). There was no significant difference between the three groups (P> 0.05) Children with diarrhea caused by different pathogens may have different degrees of myocardial damage in acute phase, changes in myocardial enzymes were more significant, therefore, children with infectious diarrhea should be routine to do the determination of myocardial enzymes and ECG .