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目的观察麻疹合并心肌损害的临床特点和临床治疗效果。方法选取医院感染科收治的48例成人麻疹患者,均采用药物环磷腺苷葡胺、盐酸川芎嗪等进行治疗。治疗前后,比较患者临床症状改善情况,患者均进行常规心电图检查和心肌酶检测,观察临床疗效。结果经综合治疗,全部患者麻疹症状均治愈,平均治愈时间(10.3±1.1)d,治疗有效率100%;心电图扫描14例心动过速,5例ST-T段改变,治疗后复查心电图,扫描提示症状和改变均消失,心电图正常。治疗后复查心肌酶,患者各项检测指标均下降,平均水平已恢复至正常范围内。结论临床诊治成人麻疹需注重对心肌损害的早期检查和诊断,在对症治疗麻疹的同时,加强心肌保护并予以心肌损害相应治疗,能显著改善患者临床症状,降低心肌功能损伤,治疗效果好,预后佳。
Objective To observe the clinical characteristics of measles combined with myocardial damage and clinical treatment. Methods Forty-eight adult measles patients admitted to the hospital infection department were enrolled in the study. All the patients were treated with drugs such as cyclic adenosine monophosphate, ligustrazine hydrochloride and so on. Before and after treatment, compared with the improvement of clinical symptoms of patients, patients were routine ECG and myocardial enzyme tests to observe the clinical efficacy. Results The results showed that the measles symptoms were cured in all the patients with the average cure time of (10.3 ± 1.1) d and the effective rate of treatment was 100%. The electrocardiogram scan was performed in 14 cases of tachycardia and the ST-T segment of 5 cases. The electrocardiogram Prompt symptoms and changes are disappeared, normal ECG. After treatment review of myocardial enzymes, the patient’s test indicators have dropped, the average level has been restored to the normal range. Conclusion In clinical diagnosis and treatment of adult measles, we should pay attention to the early detection and diagnosis of myocardial damage. While symptomatic treatment of measles, strengthening myocardial protection and corresponding treatment of myocardial damage can significantly improve the clinical symptoms, reduce myocardial damage, improve the prognosis good.