乙型肝炎合并心肌损伤临床分析

Clinical analysis of hepatitis B patients complicated with myocardial injury

目的探讨乙型肝炎合并心肌损伤的临床特点。方法对886例急、慢性及重型乙型肝炎患者进行临床观察、心电图检查及对心电图异常者行心肌酶谱检测分析。结果161例心电图异常,发生率18.2%,而其中33例(20.5%)心肌酶谱检测异常。结论对于乙型肝炎合并心肌损伤临床要结合心电图及心肌酶谱的改变进行综合分析,心肌酶CK-MB升高对于合并心肌损伤的诊断有重要的价值。

Objective To explore the clinical features of hepatitis B and myocardial injury. Methods 886 patients with acute ,chronic and severe hepatitis B analyzed with electrocardiogram and myocaridialase spectrum. Resulls Abnormal electrocardiogram was observed in 161 cases with an incidence of 18.5% and of 33 cases （20.5%） also showed abnormal myocaridialase spectrum. Conclusion The hepatitis B patient complicated with myocaridial injury should be comprehensively analyzed by combining electrocardiogram with myocardialase spectrum. The increase of AST, LDH, HDBH and GK- MB are valuable for diagnosis of associated myocardial injury.