婴幼儿支气管肺炎患儿血清心肌酶变化及其临床意义

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1、Ó¤Ó׶ùÖ§Æø¹Ü·ÎÑ×»¼¶ùѪÇåÐļ¡Ã¸±ä»¯¼°ÆäÁÙ´²ÒâÒ塾ժҪ¡¿Ä¿µÄÑо¿Ó¤Ó׶ùÖ§Æø¹Ü·ÎÑ×»¼¶ùѪÇåÐļ¡Ã¸µÄ±ä»¯£¬ÒÔ±ãÔÚÕïÖιý³ÌÖвÉÈ¡×ۺϴëÊ©¡£·½·¨Ñ¡ÔñסԺ֧Æø¹Ü·ÎÑ×»¼¶ù110Àý£¬ÆäÖÐÇáÖ¢Ö§Æø¹Ü·ÎÑ×80Àý£¨ÇáÖ¢·ÎÑ××飩£¬ÖØÖ¢Ö§Æø¹Ü·ÎÑ×30Àý£¨ÖØÖ¢·ÎÑ××飩¡£ÁíÑ¡22Àý½¡¿µ¶ùͯ×

2、÷Ϊ¶ÔÕÕ×é¡£²ÉÓÃOlympusAU2700ÐÍÈ«×Ô¶¯Éú»¯·ÖÎöÒDzⶨ֧Æø¹Ü·ÎÑ×»¼¶ù¼±ÐÔÆÚ¡¢»Ö¸´ÆÚ¼°¶ÔÕÕ×é¶ùͯѪÇåÌìÃŶ¬°±Ëáת°±Ã¸(AST)¡¢ÈéËáÍÑÇâø(LDH)¡¢¦Á£ôǶ¡ËáÍÑÇâø(¦Á-HBDH)¡¢¼¡Ëἤø£¨CK£©¼°Æäͬ¹¦Ã¸£¨CK-MB£©µÈ¶àÏîÐļ¡Ã¸Ö¸±ê¡£½á¹ûÓë¶ÔÕÕ×éÏà±È£¬ÇáÖ¢¼°ÖØÖ¢·ÎÑ××黼¶ùѪÇ

3、åAST¡¢LDH¡¢¦Á-HBDH¡¢CK¡¢CK-MBˮƽ¾ùÃ÷ÏÔÉý¸ß£¨P<0.01£©£¬ÖØÖ¢·ÎÑ××éÉÏÊöÖ¸±êÃ÷ÏÔ¸ßÓÚÇáÖ¢·ÎÑ××飨P<0.01£©¡£Óë¼±ÐÔÆÚÏà±È£¬»Ö¸´ÆÚÕâЩÐļ¡Ã¸Ö¸±ê¾ùÇ÷ÏòÕý³£Ë®Æ½¡£½áÂÛÓ¤Ó׶ùÖ§Æø¹Ü·ÎÑ×»¼¶ùѪÇåÐļ¡Ã¸Óв»Í¬³Ì¶ÈÉý¸ß£¬²¡ÇéÔ½ÖØ£¬Ðļ¡Ã¸Éý¸ßÔ½Ã÷ÏÔ¡£¡¾¹Ø¼ü´Ê¡¿Ö§Æø¹

4、Ü·ÎÑ×£»Ó¤Ó׶ù£»ÐÄÁ¦Ë¥½ß£»Ðļ¡Ã¸Abstract:ObjectivesToinvestigationthevariationsofbloodserum6myocardialenzymesininfantsandyoungchildrenwithbronchialpneumoniasoastotakecomprehensivemeasuresindiagnosisandtreatment.Methods110hospitalizedinfantsandyoungchild

5、renof1monthto3yearssufferingfrombronchialpneumoniawereincludedinthisstudy,ofwhom80caseshadmildconditions(mildgroup)and30caseshadsevereconditions(severegroup).22healthyyoungchildrenweredesignatedascontrolgroup.AnOlympusAU2700auto-analyzerwasusedtodeterm

6、inethemyocardialenzymeindexesintheacutestageandconvalescence,includingaspartateaminotransferase(AST),lactatedehydrogenase(LDH),¦Á-hydroxybutyrasedehydrogenase(¦Á-HBDH),creatinekinase(CK)andcreatinekinasemyocardialbound(CK-MB)intheyoungpatients.ResultsC

7、omparedwiththecontrolgroup,thelevelsofAST,LDH,¦Á-HBDH,CKandCK-MBinboththepneumoniagroups(P<0.01).Theaboveindexesintheseveregroupweremarkedlyhigherthanthemildgroup(P<0.01).Comparedwiththeacutestage,allthemyocardialenzymeindexesintheconvalescencete

8、ndtobenormal.ConclusionThebloodserummyocardialenzymesofinfantsandyoungchildrenwithbronchialpneumoniaincreaseindifferentdegrees.Thereisapositivecorrelationbetweentheseverityandthelevelsofmyocardialenzymes.6Ö§Æø¹Ü·ÎÑ×ÊǶù¿ÆµÄ³£¼û²¡£¬ÑÏÖØÊ