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病毒性心肌炎患儿心肌损害早期的临床诊治及护理

Nursing experience in the treatment of the sick child with myocardial damage from viral myocarditis in early stage

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【作者】 薄万喜杨文东王丽华李振华

【Author】 Bo Wanxi, Yang Wendong, Wang Lihua, et al. (Dongying People’s Hospital, Dongying Shandong 257091, China)

【机构】 东营市人民医院利津县第二人民医院东营市人民医院 山东东营257091山东东营257091山东东营257091

【摘要】 目的:探讨病毒性心肌炎(VMC)心肌损害的早期检测和护理方法。方法:对62例VMC患儿进行血清心脏型脂肪酸结合蛋白(h-FABP)和肌酸磷酸激酶同功酶(CK-MB)检测,普通心电图(ECG)和动态心电图(ACG)测定,X线胸透。住院系统治疗与护理2~3个月。结果:治疗前后患儿h-FABP、CK-MB水平有显著性差异(P<0.05),治疗与护理后,痊愈46例(74.2%),好转16例(25.8%),无1例死亡。结论:血清h-FABP联合ACG或ECG检测,对早期诊断VMC和提高检出率,同时对VMC患儿的预后和临床用药及护理具有重要价值。

【Abstract】 Objective: To explore the early detection and nursing approaches of myocardial damage from viral myocarditis. Methods: The detection of h-FABP and CK-MB was made for 62 sick children, at the same time ECG and ACG were determined and X-ray exam was taken. Systematic nursing was applied for the sick children for 2-3 months in IPD. Results: The significant difference (P<0.05) was found in the comparison of h-FABP and CK-MB before and after the treatment. 46 sick children recovered (74.2%) and 16 got better, none died. Conclusion: Detection of h-FABP and CK-MB is valuable in making early diagnosis and increase detection rate of VMC and is beneficial to prognosis and clinical medication.

【关键词】 病毒性心肌炎心脏型脂肪酸结合蛋白心电图诊治护理
【Key words】 Viral myocarditish-FABPECGNursing
  • 【文献出处】 齐鲁护理杂志 ,Journal of Qilu Nursing , 编辑部邮箱 ,2005年11期
  • 【分类号】R473.72;
  • 【被引频次】1
  • 【下载频次】49
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