中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
8期
22-22
,共1页
重症肺炎%心肌损害%临床分析
重癥肺炎%心肌損害%臨床分析
중증폐염%심기손해%림상분석
Myocardial damage severe pneumonia%Clinical analysis
目的:探讨重症肺炎患儿伴心肌损害的临床特点,指导重症肺炎患儿的治疗。方法:对36例重症肺炎伴心肌损害患儿进行分析。结果:重症肺炎患儿心肌损害主要表现为血清心肌肌钙蛋白 I ( CInI ),心肌酶谱及心电图的异常。 CInI升高33例(91.67%)。心电图异常中,室性心动过速26例(72.2%),T波改变8例(22.2%),还伴有各种早搏,束支传导阻滞,窦性心动过速等。心肌酶谱均有2项或2项以上异常。结论:重症肺炎患儿存有心肌损害。早期检测CInI,心肌酶谱可早期诊断,早期治疗,预防心肌衰竭的发生。
目的:探討重癥肺炎患兒伴心肌損害的臨床特點,指導重癥肺炎患兒的治療。方法:對36例重癥肺炎伴心肌損害患兒進行分析。結果:重癥肺炎患兒心肌損害主要錶現為血清心肌肌鈣蛋白 I ( CInI ),心肌酶譜及心電圖的異常。 CInI升高33例(91.67%)。心電圖異常中,室性心動過速26例(72.2%),T波改變8例(22.2%),還伴有各種早搏,束支傳導阻滯,竇性心動過速等。心肌酶譜均有2項或2項以上異常。結論:重癥肺炎患兒存有心肌損害。早期檢測CInI,心肌酶譜可早期診斷,早期治療,預防心肌衰竭的髮生。
목적:탐토중증폐염환인반심기손해적림상특점,지도중증폐염환인적치료。방법:대36례중증폐염반심기손해환인진행분석。결과:중증폐염환인심기손해주요표현위혈청심기기개단백 I ( CInI ),심기매보급심전도적이상。 CInI승고33례(91.67%)。심전도이상중,실성심동과속26례(72.2%),T파개변8례(22.2%),환반유각충조박,속지전도조체,두성심동과속등。심기매보균유2항혹2항이상이상。결론:중증폐염환인존유심기손해。조기검측CInI,심기매보가조기진단,조기치료,예방심기쇠갈적발생。
Objective:To investigate the clinical characteristics of children with severe pneumonia with myocardial damage , and guide the treatment of children with severe pneumonia .Methods:36 cases of children with severe pneumonia with myocardial damage were ana-lyzed.Results:Myocardial damage mainly for children with severe pneumonia serum cardiac troponin I (CInI), myocardial enzymes and e-lectrocardiogram abnormalities.CInI rise in 33 cases (91.67%).Abnormal electrocardiogram (ecg), ventricular tachycardia, 26 cases (72.2%), T wave change 8 cases (22.2%), accompanied by various premature beat , bundle branch block, sinus tachycardia and so on.Myocardial enzyme spectrum had two or more than two exceptions .Conclusion:Children with severe pneumonia with myocardial dam-age.Early detection CInI , myocardial enzyme spectrum could be early diagnosis , early treatment and prevent the occurrence of heart fail-ure.