儿童重症肺炎伴心肌损害的临床分析

Analysis on clinical characteristics of children with severe pneumonia with myocardial damage

目的:探讨重症肺炎患儿伴心肌损害的临床特点,指导重症肺炎患儿的治疗。方法:对36例重症肺炎伴心肌损害患儿进行分析。结果:重症肺炎患儿心肌损害主要表现为血清心肌肌钙蛋白I(CInI),心肌酶谱及心电图的异常。CInI升高33例(91.67%)。心电图异常中,室性心动过速26例(72.2%),T波改变8例(22.2%),还伴有各种早搏,束支传导阻滞,窦性心动过速等。心肌酶谱均有2项或2项以上异常。结论:重症肺炎患儿存有心肌损害。早期检测CInI,心肌酶谱可早期诊断,早期治疗,预防心肌衰竭的发生。

Objective：To investigate the clinical characteristics of children with severe pneumonia with myocardial damage , and guide the treatment of children with severe pneumonia .Methods：36 cases of children with severe pneumonia with myocardial damage were ana-lyzed.Results：Myocardial damage mainly for children with severe pneumonia serum cardiac troponin I （CInI）, myocardial enzymes and e-lectrocardiogram abnormalities.CInI rise in 33 cases （91.67%）.Abnormal electrocardiogram （ecg）, ventricular tachycardia, 26 cases （72.2%）, T wave change 8 cases （22.2%）, accompanied by various premature beat , bundle branch block, sinus tachycardia and so on.Myocardial enzyme spectrum had two or more than two exceptions .Conclusion：Children with severe pneumonia with myocardial dam-age.Early detection CInI , myocardial enzyme spectrum could be early diagnosis , early treatment and prevent the occurrence of heart fail-ure.