急性上呼吸道感染儿童心肌酶测定及临床意义

Assays and Clinical Significance of Serum Myocardial Enzymes in Children with Acute Upper Respiratory Infection

目的 :探讨急性上呼吸道感染 (AURI)患儿心肌酶活性的变化及其临床意义。方法 :以 38例健康儿童作对照 ,对 5 8例AURI患儿行心肌酶及心电图检查 ,结果异常者加用抗氧化剂治疗后复查。结果 :观察组患儿心肌酶活性及心电图异常率均明显高于对照组 (P <0 .0 1) ,结果异常者经相应治疗后复查均恢复正常。结论 :部分AURI患儿存在程度不同的心肌损害。心肌酶可作为AURI儿童合并心肌损伤的诊断依据和观察病情及判断预后的有效指标。

Objective:To explore the changes of serum myocardial enzymes in the children with acute upper respiratory infection(AURI) and its clinical significance. Methods: Serum myocardial enzymes and electrocardiogram in 58 cases with AURI were examined, and 38 health infants were in control group. The above laboratory tests were reexamined after treated with antioxidizer in the patients with previous abnormal test results. Results: The levels of serum myocardial enzymes and abnormal rate of electrocardiogram in the observation group were significantly higher than those in the control group (P<0.01). These changes could return to normal after appropriate treatment. Conclusion: There is different degree of myocardial injury in children with AURI. Myocardial enzymes could be used as a valuable indicator for diagnosis, observing tendency, and predicting prognosis of myocardial injury in the children with AURI.