婴幼儿肺炎血清心肌酶谱的变化及其临床意义

目的　探讨婴幼儿肺炎血清心肌酶谱的变化及其临床意义。方法　选择 66例婴幼儿肺炎患儿 ,其中普通组 34例 ,重症组 32例 ,于入院后全部检测心肌酶谱 ,重症组患儿于治疗 1周后进行第 2次检测。结果　 66例患儿中 ,血清心肌酶谱升高 4 8例 (72 .73% ) ,18例正常 ,后者均见于普通组患儿 ;重症组患儿血清心肌酶谱单项及多项升高的人数和程度均明显高于普通组 (P <0 .0 1) ;重症组患儿治疗前后心肌酶谱的变化 ,以CK恢复最快 ,其他依次为CK MB ,LDH ,AST。结论　婴幼儿肺炎无论病情轻重均可影响心肌酶的变化 ;病情愈重 ,心肌损害愈明显

The Changes and its Significance of Serum Myocardial zymogram of the infant with Pneumonia

Objective To investigate the changes and its clinical significance of the myocardial zymogram of infant with pneumonia.Methods 66 cases were devided into two groups:the common group and serious group.Test their serum myocardial zymogram after hospitalization,and test the serious group again after 1 week's treatment.Results Among 66 cases,serum myocardial zymogram increased in 48 patients,and the 18 cases whose serum myocardial zymogram was normal were all in common group;in the serious group,the number of the infants whose serum myocardial zymogram increased and the level of changes of one or more items of the myocardial zymogram were all higher than those of the common group(P<0.01);after treatment in serious group,the recorery of CK was the fastest,and then were the CK-MB,the LDH,the AST.Conclusion Pneumonia can cause the changes of the serum myocardial zymogram.With the progress of the patient's condition,the myocardial injury is increasingly obvious.This suggests:for the infants with pneumonia,if we want to cuel them more quickly,we must protect the myocardium besides the regular therapy.