摘要
目的探讨手足口病(HFMD)患儿心肌酶及心电图改变的临床意义。方法对住院1709例HFMD患儿检测心肌酶,包括天冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)、α-羟丁酸脱氢酶(HBDH)、乳酸脱氢酶(LDH)、肌酸激酶(CK)、肌酸激酶同工酶(CK-MB),同时均做常规床旁12导联心电图。结果心肌酶检查:心肌酶的异常主要在部分重型HFMD中,心肌酶升高以AST升高为主,同时伴有ALT、LDH、HBDH及CK升高,但升高的程度较轻,危重型HFMD患者心肌酶损害明显。心电图检查:半数患儿出现窦性心动过速,少数重型HFMD患儿出现心律失常。结论 HFMD对心脏损害小,但部分重型手足口病存在不同程度的心肌损害及心律失常,临床上应早期发现、早期治疗。
Objective To discuss the clinical significance of myocardium enzyme and electrocardiogram of hand,foot and mouth disease（HFMD）children.Methods T Myocardium enzyme including AST,ALT,HBDH,LDH,CK,CK-MB and 12-leed electrocardiogram of 1709 HFMD children in hospital were tested/taken.Results Myocardium enzyme examination：myocardium enzyme abnormalities mainly occurred in severe HFMD,elevation was seen in AST,accompanied by ALT,LDH,HBDH and CK increase,to a lesser extent.Myocardium enzyme damage was obvious in severe HFMD patients.Electrocardiogram examination：half cases presented sinus tachycardia,arrhythmia occurred in a few severe HFMD cases.Conclusion HFMD has little damage to heart,while some cases of severe HFMD present different degrees of myocardium damage and cardiac arhythmia,where early detection and treatment in clinical are required.
出处
《医学综述》
2012年第6期949-950,共2页
Medical Recapitulate
关键词
手足口病
心肌酶
心电图
Hand
foot and mouth disease
Myocardium enzyme
Electrocardiogram
