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目的探讨小儿轮状病毒性肠炎心肌损害各项指标的变化。方法将59例大便轮状病毒抗原阳性患儿空腹抽血查肌钙蛋白Ⅰ(cTnⅠ)、肌酸激酶同工酶(CK-MB),阳性者30例,与抽血同一天做心电图、心脏彩超。同时抽取健康对照组18例,做相同的检查。结果cTnI、CK-MB 2组差异有统计学意义,心脏彩超EF、FS、E/A、LAD/ASD 2组差异无统计学意义;心电图研究组较对照组变化明显。结论小儿轮状病毒性肠炎可有不同程度的心肌损害。多数临床表现轻微,以潜伏型和临床亚型为主,cTnl、CK-MB较灵敏、特异。
Objective To investigate the changes of various indexes of myocardial damage in children with rotavirus enteritis. Methods Fifty-nine patients with positive stool rotavirus antigen were examined for cTnI and CK-MB, 30 cases were positive. On the same day, blood samples were collected for electrocardiogram (ECG), heart Color ultra. At the same time, 18 healthy control subjects were selected for the same examination. Results There was significant difference between cTnI and CK-MB 2 groups. There was no significant difference in EF, FS, E / A and LAD / ASD between the two groups. ECG study group changed significantly compared with control group. Conclusion Rotavirus enteritis in children may have different degrees of myocardial damage. The majority of clinical manifestations of mild, mainly latent and clinical subtypes, cTnl, CK-MB more sensitive and specific.