轮状病毒肠炎并心肌损害102例临床分析

Clinical analysis of rotavirus enteritis complicated with myocardial injure in 102 cases

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～2011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%。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,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。

Objective To investigate the clinical characteristics of rotavirus enteritis which induced myocardial injury and in order to guide the diagnosis and treatment.Methods The clinical characteristics of 265 children with rotavirus enteritis complicated with myocardial injure in our hospital were analyzed retrospectively from February 2007 to December 2011.Their electrocardiogram and myocardial enzymes were checked.Results Serum myocardial enzyme increased in 102 cases of children with rotavirus enteritis complicated with myocardial injure.And the electrocardiogram were abnormal.Myocar dial injury cases accounted for 38.5% of children with rotavirus enteritis in the same period.The myocardial enzymes and dehydration of increased the degree and illness weight related.Conclusion Myocardial injure in children with rotaviral enteritis is mostly underlying and subclinical.The clinical manifestations of pale-looking and cachexia with dehydration and acidosisin is easier to infected myocardial injure.It＇s diagnosis depends on serum myocardial enzyme or electrocardiogram.Only when rotavirus enteritis complicated with myocardial injure can be found and treated earlier and have good results.