69例新生儿败血症心肌酶测定的临床分析

目的 :探讨新生儿败血症治疗前后心肌酶值变化的临床意义 ,以指导临床治疗。方法 :6 9例新生儿败血症 ,分别在治病前及治疗后 2周测定心肌酶值 ,5 3例作心电图检查。结果 :①新生儿败血症治疗前心肌酶值 1 0 0 %增高 :治疗后心肌酶值全部下降 ,治疗前后对比 ,有显著差异 (P <0 .0 5 )。②同时查心电图治疗前后对比 ,有显著性差异 (p <0 .0 5 )。③心肌酶增高与胎龄无关 ,足月儿与早产儿败血症患儿心肌酶值经统计学处理无显著差异 (p >0 .0 5 )。结论 :新生儿败血症有心肌细胞的损害 ,经积极抗感染和营养心肌治疗 2周后复查 ,心肌酶值全部下降 ,心电图恢复正常 ,考虑心肌损害为可逆性。

The clinic significance of testing myocardium enzyme to neonatalsepticemia of the 69 patients

Objective: To investigate the clinic significance of testing myocardium enzyme in neonatal septicemia for guide treatment. Methods: Before the treatment and after two weeks' treatment. The patients have a myocarelium enzyme test. Results:The myocardium enzyme of 69 patients with neonatal septicemia has all risen. Compare the myocardium enzyme before and after the treatment, the difference is evident and significant(p<0.05) meanwhile, Compare the electrocarcliogram test, the difference is evident and significant too. (p<0.05). Compare the myocardium enzyme, both normal term infant and preterm infant with neonatal septicemia, the difference is significant (p>0.05). Conclusion: The neonatal septicemia has their cardiac muscle damaged, After using the antibiotic and nutrition myocardium cells for two weeks' the myocardium enzyme will fall the damage of cardiac muscle is reversible.