因肝酶升高就诊的杜氏肌营养不良2例报告并文献复习

2 patients with duchenne muscular dystrophy treated for elevated liver enzymes and literature review

杜氏肌营养不良是儿童常见的肌病,但当其不以运动发育落后为首要表现时易被忽略。遇到肝酶升高的病例,需注意询问运动发育情况、进行较细致的神经系统检查,并检测其肌酶水平,确诊需行基因检测,必要时行肌电图检查和肌活检。

Duchenne muscular dystrophy is a common childhood myopathy,but when it is not in motion retardation for the firstperformance will be easily ignored.In the case of elevated liver enzymes,we should pay attention to ask the development andexamination of nervous system movement in detail,and detect its muscle enzyme levels,which needs to be confirmed for genetictesting,if necessary,take EMG and muscle biopsy examination.