心肌酶辅佐早期诊断狂犬病的临床研究

Clinical Research of Early Diagnosis of Rabies Assisted with Cardiac Enzymes

目的观察狂犬病患者心肌酶的变化情况,利用心肌酶的早期升高来辅佐早期诊断狂犬病。方法对我院2010年1月-2013年12月收治的36例狂犬病患者进行入院时检查心肌酶,并对检查结果进行分析。结果所有患者在病程第1-2d有低热、精神倦怠;恐水怕风多出现在第2-3d以后。所有患者均有不同程度的心酶升高,随着病程的延长,心肌酶各项指标增高越明显;心酶异常达94.4%。结论低热、精神倦怠、恐水、怕风是狂犬病的临床表现,心肌酶可以作为普通及基层医院辅佐诊断狂犬病的生化学依据。

Objective To observe the rabies patients of the changes of myocardial enzymes,improve the early diagnosis level. Methods From January 2010 to December 2013,36 cases of rabies patients in our hospital were examined myocardial enzyme,and the results were analyzed.Results All patients in the course of the first 1-2 days got fever and listlessness,fearing the wind and water appeared after the first 2-3d. In all patients,cardiac enzymes had varying degrees of elevated,as the extension of the disease,indicators of cardiac enzymes increased more obvious; Abnormality of cardiac enzyme was 94.4%. Conclusion Low fever,listlessness,fearing water and wind are the clinical manifestations of rabies. Cardiac enzymes can be used as assistant general hospitals and primary biochemical basis for the diagnosis of rabies.