小儿肺炎支原体感染合并心肌损害的临床分析

目的：探讨小儿支原体肺炎合并心肌损害的临床特点.方法：对本院收治的186例肺炎支原体肺炎合并心肌损害患儿的临床资料进行回顾分析.结果：发生不同程度心肌损害84例,其中心电图异常30例,占35.7%,分别是P-R间期延长、不完全性右束支传导阻滞、室性早搏、ST-T改变;心肌酶CK-MB增高28例,达66.7%;心衰l例.心肌损害的发生与患儿体内FQ-MP-DNA滴度及体温的高低有关（P〈0.05）,而与C反应蛋白的高低无关.结论：支原体肺炎可产生心肌损害,多数患儿常无特殊主诉,对支原体肺炎患儿进行相关检查,及时发现心肌损害并行积极保护心肌治疗,预后良好.

The young child pneumonia mycoplasma infection merge cardiac muscle harm clinical analyzes

Objective： Discusses the young child mycoplasma pneumonia merge cardiac muscle harm the clinical characteristic. Methods： Carries on the review analysis to this courtyard admitting 186 example pneumonia mycoplasma pneumonia merge cardiac muscle harm trouble clinical material. Results： Has the varying degree cardiac muscle to harm 84 examples,in which electroc.ardiogram exceptionally 30 examples,accounts for 35.7%, respectively is P--R the time lengthens,completeness right ties a conduction to hinder,the room to wrestle,the ST--T change early; Cardiac muscle enzyme CK --MB advances 28 examples, reaches 66.7% ;The heart fades the 1 example. Cardiac musde harm occurrence and trouble in vivo FQ--MP--DNA liter and body temperature height related （P〈0.05） ,but has nothing to do with with the C response protein height. Conclusion： Mycoplasma pneumonia may have the cardiac muscle harm,the most troubles often the not special host sues, carries on the correlation inspection to the mycoplasma pneumonia I rouble, discovered promptly the cardiac muscle harm parallel protects the cardiac muscle treatment positively,the prognosis is t＇avorable.