河北医学
河北醫學
하북의학
HEBEI MEDICINE
2009年
9期
1043-1045
,共3页
何英%芦爱萍%高韦娟%罗文燕%刘冬华%孙琴%林岳华%崔建军
何英%蘆愛萍%高韋娟%囉文燕%劉鼕華%孫琴%林嶽華%崔建軍
하영%호애평%고위연%라문연%류동화%손금%림악화%최건군
过敏性紫癜%心脏损害%心电图%心肌酶谱
過敏性紫癜%心髒損害%心電圖%心肌酶譜
과민성자전%심장손해%심전도%심기매보
Henoch-schonlein purpura%Cardiac damage%ECG%Myocardial enzymes
目的:探讨儿童过敏性紫癜(HsP)合并心血管损害的临床特点、发生机制和预后.方法:对临床明确诊断的280例儿童HSP患儿进行回顾性分析.结果:280例儿童过敏性紫癜患儿中有87例并发心脏损害,占31.1%,其中表现为心电图异常51例,占18.2%,和(或)有心肌酶谱改变69例,占24.6%,混合性紫癜患儿心电图、心肌酶谱异常率高,异常程度也较重,心损脏损害组与无心脏损害组相比,多脏器损害比例明显增高,治疗后心电图、心肌酶谱有不同程度的恢复.结论:临床上应将心肌酶谱、心电图检测作为HSP的常规检查,有异常者及早进行干预,使可逆性的心肌损害得到恢复,对患儿顸后具有重要临床意义.
目的:探討兒童過敏性紫癜(HsP)閤併心血管損害的臨床特點、髮生機製和預後.方法:對臨床明確診斷的280例兒童HSP患兒進行迴顧性分析.結果:280例兒童過敏性紫癜患兒中有87例併髮心髒損害,佔31.1%,其中錶現為心電圖異常51例,佔18.2%,和(或)有心肌酶譜改變69例,佔24.6%,混閤性紫癜患兒心電圖、心肌酶譜異常率高,異常程度也較重,心損髒損害組與無心髒損害組相比,多髒器損害比例明顯增高,治療後心電圖、心肌酶譜有不同程度的恢複.結論:臨床上應將心肌酶譜、心電圖檢測作為HSP的常規檢查,有異常者及早進行榦預,使可逆性的心肌損害得到恢複,對患兒頇後具有重要臨床意義.
목적:탐토인동과민성자전(HsP)합병심혈관손해적림상특점、발생궤제화예후.방법:대림상명학진단적280례인동HSP환인진행회고성분석.결과:280례인동과민성자전환인중유87례병발심장손해,점31.1%,기중표현위심전도이상51례,점18.2%,화(혹)유심기매보개변69례,점24.6%,혼합성자전환인심전도、심기매보이상솔고,이상정도야교중,심손장손해조여무심장손해조상비,다장기손해비례명현증고,치료후심전도、심기매보유불동정도적회복.결론:림상상응장심기매보、심전도검측작위HSP적상규검사,유이상자급조진행간예,사가역성적심기손해득도회복,대환인한후구유중요림상의의.
Objective: To study the clinical characteristics, pathogenesis and prognosis of children with henoch-schonlein purpura (HSP). Method: The data of 280 children diagnosed with HSP were reviewed retrospectively. Result: Among the 280 cases, 87 ( 31.1% ) were combined with cardiac damage . 51 (18.2%) were combined with ECG abnormalities . 69 ( 24.6% ) were combined with the changing of myocardial enzymes. The abnormal rate of children with mixed purpura is high and the abnormal level is also high .Compare with the team without cardiac damage , the rate of multiple organ damage of the team with cardiac damage is higher. After treatment, the ECG and myocardial enzymes are restored in a extent. Conclusion:We should take the ECG and myocardial enzymes as a routine inspection of HSP clinically. Early intervention is contribute to the damaged myocardial to recover, which have a clinical significance in prognosis.