CAJ | 학술논문

目的探讨小儿荨麻疹心肌酶谱及超敏C反应蛋白在小儿荨麻疹诊疗过程中的临床价值.方法检测184例荨麻疹患儿心肌酶谱及超敏C反应蛋白水平,CK、CK-MB大于正常值2倍者均做肌钙蛋白和心电图检查,同时选择60例健康体检儿童作为对照组,进行研究分析.结果荨麻疹患儿组心肌酶谱与超敏C反应蛋白均明显高于对照组,差异有统计学意义(P＜0.05).184例荨麻疹患儿中有109例心肌酶谱阳性和108例超敏C反应蛋白阳性,阳性率分别为59.2％和58.7％,其中肌钙蛋白阳性者2例,结合心电图诊断轻度心肌炎1例.结论心肌酶谱和超敏C反应蛋白在小儿荨麻疹诊断、治疗及预后评估过程中具有重要临床价值.在小儿荨麻疹合并心肌损伤或合并心肌炎的诊断上应结合症状、肌钙蛋白及心电图综合考虑做出判断,以防误诊.
목적 탐토소인담마진심기매보급초민C반응단백재소인담마진진료과정중적림상개치.방법 검측184례담마진환인심기매보급초민C반응단백수평,CK、CK-MB대우정상치2배자균주기개단백화심전도검사,동시선택60례건강체검인동작위대조조,진행연구분석.결과 담마진환인조심기매보여초민C반응단백균명현고우대조조,차이유통계학의의(P＜0.05).184례담마진환인중유109례심기매보양성화108례초민C반응단백양성,양성솔분별위59.2％화58.7％,기중기개단백양성자2례,결합심전도진단경도심기염1례.결론 심기매보화초민C반응단백재소인담마진진단、치료급예후평고과정중구유중요림상개치.재소인담마진합병심기손상혹합병심기염적진단상응결합증상、기개단백급심전도종합고필주출판단,이방오진.
Objective To observe the children with urticaria myocardial enzymes and high sensitivity C reactive protein,the dissertation investigates its clinical value in the diagnosis and treatment of children with urticaria.Methods Detected 184 cases of urticaria in children with myocardial enzymes and high sensitivity C-reactive protein,CK,CK-Mb two times greater than normal,do troponin and ECG,and other 60 cases of healthy children were tested as control group to research and analyse.Resuits Urticaria in children with group of myocardial enzymes and high sensitivity C-reactive protein was significantly higher,there was significant difference (P ＜ 0.05).In 184 cases of urticaria children,109 cases of myocardial enzymes in positive and 108 cases of high sensitivity C-reactive protein positive,the positive rates were 59.2％ and 58.7％,included troponin-positive 2 cases,combined with the ECG diagnosis of mild myocarditis cases.Conclusions The myocardial enzymes and high sensitivity C-reactive protein in children with urticaria diagnosis,treatment and prognosis of the assessment process has important clinical value.It should be combined with symptoms the diagnosis of children with urticaria merger of myocardial injury or merge myocarditis,troponin and ECG to consider making the judgment and to prevent misdiagnosis.