论文部分内容阅读
目的:探讨小儿重症肺炎合并心力衰竭与心钠肽的关系。方法:对我院的收治的140例小儿患者相关资料进行分析,根据患儿不同的病情发展分为两组,其中100例小儿重症肺炎合并心力衰竭患者即肺炎心衰组,40例小儿肺炎无心力衰竭患者即肺炎无心衰组,60例正常健康儿童为健康对照组,对3组血清心钠肽水平比较分析。并根据心功能分级,将100例肺炎心衰患儿分为4个小组,并对其各组进行心钠肽水平的检测。结果:肺炎心衰组血清心钠肽水平显著高于健康对照组,与肺炎无心衰组比较,差异具有统计学意义(P<0.05);肺炎心衰4组,差异具有统计学意义(P<0.05)。结论:小儿重症肺炎合并心力衰竭患者的心功能与心钠肽的关系密切,因此心钠肽可以作为诊断小儿重症肺炎合并心力衰竭的重要指标之一。
Objective: To investigate the relationship between severe pneumonia complicated with heart failure and atrial natriuretic peptide in children. Methods: The data of 140 pediatric patients treated in our hospital were analyzed and divided into two groups according to their different disease development. Among them, 100 cases of severe pneumonia complicated with heart failure in children with pneumonia and heart failure, 40 cases of pneumonia in children without heart Failure of patients with pulmonary failure who fail to heart failure group, 60 normal healthy children as a healthy control group, the three groups of serum atrial natriuretic peptide levels were analyzed. According to the classification of heart function, 100 children with pneumonia and heart failure were divided into 4 groups, and their atrial natriuretic peptide levels were detected. Results: The level of serum atrial natriuretic peptide in patients with pneumonia and heart failure was significantly higher than that in healthy controls (P <0.05), but there was no difference between the two groups (P <0.05). The difference was statistically significant (P <0.05). CONCLUSION: Cardiac function in patients with severe pneumonia complicated with heart failure is closely related to atrial natriuretic peptide. Therefore, atrial natriuretic peptide can be used as an important index in diagnosis of severe pneumonia complicated with heart failure in children.