小兒心肌損害臨床分析

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1、小兒心肌損害臨床分析達(dá)州市中丙醫(yī)結(jié)合醫(yī)院四川達(dá)州635000【摘要】目的：對(duì)小兒心肌損害的臨床特點(diǎn)進(jìn)行分析，為臨床診治小兒心肌損害提供可供參考的指導(dǎo)意見。方法:選取50例小兒心肌損害患兒作為研究對(duì)象，選取自2013年1月~2015年1月。對(duì)這50例患兒的臨床資料進(jìn)行回顧性的總結(jié)分析，分析小兒心肌損害的臨床特點(diǎn)及病因，并對(duì)其診斷方法和治療方法進(jìn)行研宄。結(jié)果：50例患兒的心肌酶的單項(xiàng)或者多項(xiàng)指標(biāo)均岀現(xiàn)異常增高；有42例患兒的心電圖出現(xiàn)單項(xiàng)或者多項(xiàng)異常，其中有36例患者的ST-T波段發(fā)生改變；患兒的臨床癥狀以胸悶、心悸、氣短、臉色蒼白為主。病因方面，由輪狀病毒腸炎

2、引發(fā)心肌損害的患兒有7例（14%）,由肺炎支原體肺炎引發(fā)心肌損害的患兒有27例（54%）,由流行性腮腺炎引發(fā)心肌損害的患兒有8例（16%）,由手足口病引發(fā)心肌損害的患兒有8例（16%）。治療2周后，這50例患兒的臨床癥狀均基木消失，心肌酶、心電圖各項(xiàng)指標(biāo)均恢復(fù)正常。隨訪發(fā)現(xiàn)，患兒均未出現(xiàn)心律失?；蛘逽T-T波段改變。結(jié)論：小兒心肌損害的臨床癥狀以胸悶、心悸、氣短、臉色蒼白為主，多由病毒、病原體感染引發(fā)，臨床診斷方法以心肌酶譜檢測(cè)、心電圖監(jiān)測(cè)為主，經(jīng)對(duì)癥治療，可有效治愈?！娟P(guān)鍵詞】小兒；心肌損害；臨床分析Abstract：Objective：toanalyze

3、theclinicalcharacteristicsofmyocardialdamageinchildren,andtoprovidereferenceforclinicaldiagnosisandtreatmentofmyocardialdamageinchildren.Methods：50childrenwithmyocardialdamagewereselectedastheresearchobject,andfromJanuary2013toJanuary~2015.Theclinicaldataof50caseswereanalyzedretros

4、pectively,andtheclinicalcharacteristicsandthecauseofmyocardialdamageinchildrenwereanalyzed.Results：myocardialenzymein50casesofchildrenwithsingleormultipleindexeswereabnormal；electrocardiogram（ECG）in42casesofchildrenwithsingleormultipleabnormal,including36casesofpatientswithST-Twave

5、changes；clinicalsymptomsinchildrenwithtightnessinthechest,palpitation,shortnessofbreath,pale.Onthecauseofthedisease,7cases(14%)werecausedbyrotavirusenteritis，27cases(54%)werecausedbypneumoniamycoplasmapneumonia，and8cases(16%)werecausedbytheepidemicofmumps，8cases(16%)werecausedbyhan

6、d,footandmouthdisease.After2weeksoftreatment,theclinicalsymptomsofthe50casesdisappeared，andthemyocardialenzymesandelectrocardiogramshowednormal.Thefollow-upshowedthattherewerenoarrhythmiaorST-Tbandchangesinchildren.Conclusion：theclinicalsymptomsofmyocardialdamageinchildrenwithtight

7、nessinthechest，palpitation，shortnessofbreath，pale，manytriggeredbythevirus，thepathogeninfectionandclinicaldiagnosisinmyocardialenzymespectrumdetection，ECGmonitoring,symptomatictreatment,whichcaneffectivelycure.Keywords：children；myocardialdamage；clinicalanalysis兒童的免疫系統(tǒng)尚未發(fā)育成熟，其機(jī)體免疫功能較

8、為低下，容易因病毒、病原體入侵而引發(fā)炎癥感染，導(dǎo)致機(jī)