小儿急性上呼吸道感染与心肌损害

Infantile Acute Upper Respiratory Tract Infection With Myocardial Injury

目的 探讨上呼吸道感染 (AURI)与心肌损害的关系。方法 以 3 0例健康儿童作为对照 ,对 86例AURI患儿采用全自动分析仪检测了磷酸肌酸酶 (CK)及同功酶 (CK -MB)、乳酸脱氢酶 (LDH)、谷草转氨酶 (AST)及ECG检查。结果 观察组CK、CK-MB和GOT、ECG的异常率均高于对照组 ,差异显著 (前者P <0 0 1后者P <0 0 5 )。结论 AURI可引起心肌损害 ,提醒儿科医师高度警惕AURI。

Objective To explore the relation of the infantile acute upper respiratory tract infection(AURI) with myocardial injury.Methods Creatine kinase (CK) and its isoenzyme(CK-MB),lactate dehydrogenase(LDH),asparatic acid transminase (AST) were tested with the fully automatic analyser and electrocardiogram(ECG) were examined with AURI in 86 cases as experimental group and 30 cases of health infants as control group.Results The abnormal rates of CK,CK-MB,LDH,AST and ECG in the AURI group were higher than those of the control group.Conclusions There is different degree of myocardial injury in some children with AURI, the clinical doctor should pay more attention in the AURI cases companied with the myocardial injury and to prevent myocardial injury complicaton in these cases . [