肺炎克雷伯杆菌感染患儿心肌酶的改变及临床分析

Clinical analysis of myocardial enzyme change in child patients with Klebsiella pneumoniae infection

目的:探讨肺炎克雷伯杆菌感染的临床特点,观察儿科肺炎克雷伯杆菌感染患儿血清心肌酶谱的变化及临床意义。方法:选择58例肺炎克雷伯杆菌感染患儿作为感染组,并选择60例同期门诊体检正常小儿作为正常对照组,入选对象均行心肌酶检查,并对58株克雷伯杆菌株进行药敏试验。结果:58份肺炎克雷伯杆菌标本对复方磺胺全部耐药,对苯唑西林、氨苄西林有较高的耐药性,对亚胺培南敏感;感染组患儿心肌酶含量较正常对照组明显升高,差异有统计学意义(P<0.05)。结论:对儿科肺炎感染患儿进行肺炎克雷伯杆菌培养和药敏试验,检测患儿心肌酶水平,能有效控制肺炎克雷伯杆菌感染。

Objective： To investigate the clinical features of Klebsiella pneumoniae and the changes of serum myocardial enzyme in child patients with Klebsiella pneumoniae infection as well as its clinical significance. Methods： 58 cases of child patients with Klebsiella pneumoniae infection were selected as the infection group, meanwhile, another 60 cases of healthy children underwent physical examination were selected as control group. All the children were given myocardial enzyme inspection, and the infection group was further given sensitivity test. Results： 58 specimens of KlebsieUa pneumoniae showed resistance to all of the Compound Sulfanilamide, and showed higher resistance to Oxacillin and Ampicillin, and were sensitive to Imipenem; serum myocardial enzyme of infection group was significantly higher than that of control group （P〈0.05）. Conclusion： Carrying out pneumonia Kebsiella pneumoniae culture and sensitivity test in child patients with pneumonia, and detecting level of serum myocardial enzyme can effectively control Klebsiella pneumoniae infection.