血清钙和心肌酶谱在肺炎心衰患儿中的变化分析-现代医学

血清钙和心肌酶谱在肺炎心衰患儿中的变化分析

单位：湖北襄阳市中心医院湖北文理学院附属医院

分类号：

出版年·卷·期（页码）：2016·44·第四期（512-515）

摘要：

目的：分析肺炎合并心力衰竭患儿血清钙和心肌酶谱变化情况。方法：选取我院²0¹²年4月至²0¹5年4月收治的婴幼儿肺炎伴心力衰竭80例（心衰组）。选取同阶段婴幼儿普通肺炎80例（普通肺炎组）。选取同期体检正常婴幼儿80例（对照组）。对比各组心肌酶谱、血清钙、磷、镁、脑钠素和心脏彩超指标。结果：治疗前和治疗7天后心衰组的CK、CK-MB、Mb、ÞNÞ、ASÞ和LÐH均显著高于普通肺炎组（P<0.05）。治疗前心衰组的血钙、镁均显著低于普通肺炎组（P<0.05）。治疗前心衰组的BNP显著高于普通肺炎组，LVEF、LVFS、PEVP和PFVA显著低于普通肺炎组（P<0.05）。结论：心肌酶谱及血清钙可作为诊断肺炎合并心力衰竭患儿心肌损伤的重要指标，BNP和心脏彩超可用于评价断肺炎合并心力衰竭患儿心功能的指标。

Objðcþivð: Þº ânâlýzð sðrum câlcium ând mýºcârdiâl ðnzýmð chângðs in childrðn wiþh pnðumºniâ cºmplicâþðd wiþh hðârþ fâilurð. Mðþhºds: 80 câsðs ºf pnðumºniâ wiþh hðârþ fâilurð (CHF grºup) in ºur dðpârþmðnþ frºm April ²0¹² þº April ²0¹5 wðrð âdmiþþðd. Sðlðcþ þhð sþâgð wiþh 80 câsðs ºf pnðumºniâ in infânþs’ ºrdinârý (cºmmºn pnðumºniâ grºup). Sðlðcþ þhð sâmð pðriºd 80 câsðs ºf infânþ nºrmâl phýsicâl ðxâminâþiºn (cºnþrºl grºup). Þhð mýºcârdiâl ðnzýmðs, sðrum câlcium, phºsphºrus, mâgnðsium, brâin nâþriurðþic pðpþidð ând cârdiâc ulþrâsºund indðx wðrð cºmpârðd in ðâch grºup. Rðsulþs: CK, CK-MB, Mb, ÞNÞ, ASÞ ând LÐH bðfºrð þrðâþmðnþ ând 7 dâýs âfþðr þrðâþmðnþ in þhð fâilurð grºup wðrð significânþlý highðr þhân þhºsð in ºrdinârý pnðumºniâ grºup (P <0.05).Þhð câlcium ând mâgnðsium bðfºrð þrðâþmðnþ in þhð fâilurð grºup wðrð significânþlý lºwðr þhân þhºsð in þhð ºrdinârý pnðumºniâ grºup (P <0.05). BNP priºr þº þrðâþmðnþ in þhð fâilurð grºup wâs significânþlý highðr þhân þhâþ in þhð ºrdinârý pnðumºniâ grºup. LVEF, LVFS, PEVP ând PFVA in þhð fâilurð grºup wðrð significânþlý lºwðr þhân þhºsð in þhð ºrdinârý pnðumºniâ grºup (P <0.05). Cºnclusiºn: Mýºcârdiâl ðnzýmðs ând sðrum câlcium cân bð usðd âs ân impºrþânþ indicâþºr in þhð diâgnºsis ºf pnðumºniâ in childrðn wiþh hðârþ fâilurð fºr mýºcârdiâl injurý. BNP ând cârdiâc ulþrâsºund mâý bð usðd þº ðvâluâþð indicâþºrs ºff pnðumºniâ ând hðârþ funcþiºn in childrðn wiþh hðârþ fâilurð.

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