严重急性呼吸综合征(SARS)病人首次心肌酶表现

The First Appearance of Serum Cardiac Enzyme with Atypical Pneumonia

目的 探讨严重急性呼吸综合征(SARS)病人心脏损害情况,为治疗提供临床治疗决策。方法 采用回顾性研究方法,收集我院89例SARS病人住院首次心肌酶资料,建立数据库,运用描述性分析及t检验、χ2 检验。结果 有38例病人( 4 2 .7% )出现至少1项心肌酶指标升高。心肌酶升高组与心肌酶正常组相比,窦性心动过速或ST -T异常、多器官功能障碍综合征发生率和病死率有显著差异。结论 部分SARS病人急性期可能存在心脏损害,有心肌酶增高者易发生多器官功能障碍综合征。

Objective To study the lesion of heart with atypical pneumonia and to provid clinic tactics for the treatment to similar disease.Methods 89 cases with atypical pneumonia were analyzed retrospectively.Results At least a rise in serum cardiac enzyme in 38 cases(42.7%). There was obviously difference,on sinus tachycardia, abnormal ST-T,multiple organ dysfunction syndrome and mortality between group of serum cardiac enzyme rising and group of normal serum cardiac enzyme. Conclusion Cardiac lesions were found in part of cases with atypical pneumonia at acute phase.The cases with serum cardiac enzyme rising were proceeding multiple organ dysfunction syndrome easily.