轮状病毒肠炎并心肌损害102例临床研究

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1、轮状病毒肠炎并心肌损害102例临床研究［摘要］目的探讨轮状病毒(rotavirus,RV)肠炎致心肌损伤的临床特点，指导其诊断和治疗。方法回顾分析2007年2月〜20"年12月在本院治疗的轮状病毒肠炎患儿265例,均做心电图、心肌酶谱检测。结果102例患儿心肌酶增高，心电图有异常，心肌损伤病例占同期轮状病毒肠炎患儿的38.5%o其心肌酶的增高与脱水的程度和病情轻重相关。结论轮状病毒肠炎并心肌损害多属于潜在性和亚临床型心肌损害，在临床表现上并无特殊性，有面色苍白、精神萎靡症状及合并脱水、酸中毒的患儿更易发生心肌损害

2、，诊断上依靠心肌酶及心电图检查，只要做到早期发现、早期治疗,轮状病毒肠炎并心肌损害预后较好。［关键词］轮状病毒肠炎；心肌损害；临床分析；心肌酶［中图分类号］R542.2［文献标识码］A［文章编号］1674-4721(2012)07(c)-0027-02Clinicalanalysisofrotavirusenteritiscomplicatedwithmyocardialinjurein102casesLIXiuyunlZHANGQing2DepartmentofPediatrics,theSecondPeopl

3、e'sHospitalofGuizhouProvinee,Guiyang550004,China;2.DepartmentofPediatrics,LiupanshuiPeople'sHospitalofGuizhouProvince,Liupanshui553001,China[Abstract]ObjectiveToinvestigatetheclinicalcharacteristicsofrotavirusenteritiswhichinducedmyocardialinjuryandinordertog

4、uidethediagnosisandtreatment.MethodsTheclinicalcharacteristicsof265childrenwithrotavirusenteritiscomplicatedwithmyocardialinjureinourhospitalwereanalyzedretrospectivelyfromFebruary2007toDecember2011・Theirelectrocardiogramandmyocardialenzymeswerechecked・Result

5、sSerummyocardialenzymeincreasedin102casesofchildrenwithrotavirusenteritiscomplicatedwithmyocardialinjure.Andtheelectrocardiogramwereabnormal.Myocardialinjurycasesaccountedfor38.5%ofchildrenwithrotavirusenteritisinthesameperiod・Themyocardialenzymesanddehydrati

6、onofincreasedthedegreeandillnessweightrelated.ConelusionMyocardialinjureinchildrenwithrotaviralenteritisismostlyunderlyingandsubclinical.Theclinicalmanifestationsofpale-lookingandcachexiawithdehydrationandacidosisiniseasiertoinfectedmyocardialinjure.It'sdiagn

7、osisdependsonserummyocardialenzymeorelectrocardiogram.Onlywhenrotavirusenteritiscomplicatedwithmyocardialinjurecanbefoundandtreatedearlierandhavegoodresults・[Keywords]Rotavirusenteritis;Myocardialinjure;Clinicalanalysis;Myocardialenzyme轮状病毒(rotavirus,RV)是世界各地

8、婴幼儿腹泻的重要病原体，其发生率和严重程度居秋、冬季腹泻的首位。轮状病毒不仅可引起肠道内的感染，还可引起其他全身多系统病变口］。因此及早发现并及时处理轮状病毒肠炎的胃肠外并发症対减少患儿痛苦、减轻家庭负担有重要意义。现对2007年2月〜20"年12月本院治疗的轮状病毒肠炎患儿的临床资料进行回顾性分析，报道如下:1资料与方法1.1一般资料收集2007年2月~20"年12月本