【摘要】 目的探讨轮状病毒肠炎合并心肌损害的发生率及相关因素。方法对确诊为轮状病毒肠炎的患儿100例与同期123例非轮状病毒肠炎的患儿进行心肌酶谱、心电图检查,并对临床资料进行分析。结果轮状病毒肠炎并发心肌损害发生率达82%,心肌酶谱异常占76%,心电图异常者占52%,非轮状病毒肠炎并发心肌损害发生率达13%,心肌酶谱异常占11.3%,心电图异常者占5.7%(P<0.005)。经大剂量维生素c和1,6-二磷酸果糖治疗心肌酶谱很快恢复正常,但心电图恢复较慢。结论轮状病毒肠炎引起的心肌损害发生率较高,主要是心肌酶谱异常,对轮状病毒肠炎患儿应早期常规进行心电图,心肌酶检测,以便发现心肌损害,及早防治。更多还原

【Abstract】 Objective To investigate the incidence and the correlation factor of myocardial damage in rotaviral enteritis in infants.Methods Serum samples from 100 cases of rotaviral enteritis and 123 cases of non-rotaviral enteritis were examined for creatine kinase(CK) and isoenzymes(CK-MB).The clinical data were analyzed.Results The incidence of myocardial damage in rotaviral enteritis of infants,abnormality of CK-MB and abnormality of ECG were 82%,76% and 52%,respectively.In non-rotaviral enteritis,of myocardial damage in rotaviral enteritis of infants,abnormality of CK-MB and abnormality of ECG were 13%,11.3% and 5.7%.Conclusions The incidence of myocardial damage in rotaviral enteritis of infants is high including abnormality of CK-MB.更多还原