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目的 探讨轮状病毒性肠炎患儿心肌酶及其同功酶的改变及其意义。方法 对 12 2例轮状病毒性肠炎患儿作心肌酶测定、心电图检查 ,并与同期其他病因引起腹泻的 83例患儿进行对比分析。结果 12 2例中 78例 ( 63 9% )心肌酶谱明显升高 ,尤以LDH及CK -MB升高更明显 ,平均分别为 2 64 8u/L和 5 9 6u/L ,且合并脱水性酸中毒者比单纯肠炎心肌酶增高明显 (P <0 0 1)。 16例 ( 2 0 5 % )心电图异常改变。 10例为单纯性心肌炎 ,4例心源性休克 ,2例急性充血性心力衰竭。结论 软状病毒感染可以引起心肌损害与病毒性心肌炎 ,故在治疗时应作心肌酶谱及心电图检查。
Objective To investigate the changes and significance of myocardial enzymes and their isozymes in children with rotavirus enteritis. Methods Twelve cases of rotavirus enteritis in children with myocardial enzyme determination, ECG, and with other causes of the same period caused by diarrhea in 83 cases of children were compared. Results In 128 of 12 cases (63.9%), myocardial enzymes were significantly elevated, especially LDH and CK-MB increased more significantly with an average of 2 648u / L and 596u / L, respectively, with a combination of dehydration Acidosis than simple enteritis myocardial enzymes increased significantly (P <0.01). 16 cases (20%) abnormal ECG changes. 10 cases of simple myocarditis, 4 cases of cardiogenic shock, 2 cases of acute congestive heart failure. Conclusion Rattus virus infection can cause myocardial damage and viral myocarditis, so in the treatment of myocardial enzymes should be checked and ECG.