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目的探讨血清LDH、HBDH水平异常对大叶性肺炎的临床诊断意义。方法对本院26例伴心肌酶异常的大叶性肺炎患儿心肌酶检测结果进行回顾分析。结果 26例患儿LDH、HBDH同时增高者22例,占84.61%,治疗前后比较差异有明显统计学意义(P<0.01)。结论临床上应该高度重视血清LDH、HBDH水平的变化,及时进行胸部X线片、肺CT等影像学检查,以便早期诊断大叶性肺炎。大叶性肺炎患儿血清心肌酶以LDH、HBDH水平变化为主是肺脏组织自身损害的结果,还是确实合并心肌损害、或为机体其他组织感染后免疫性损害的综合结果尚有待进一步大观察研究。
Objective To investigate the clinical significance of serum LDH and HBDH levels in the diagnosis of lobar pneumonia. Methods The results of myocardial enzyme tests in 26 children with lobar pneumonia with abnormal myocardial enzymes were retrospectively analyzed. Results Twenty - six cases (84.61%) of 26 cases had elevated LDH and HBDH at the same time. The difference was statistically significant before and after treatment (P <0.01). Conclusions In clinic, we should attach great importance to the changes of serum LDH and HBDH level, and carry out the imaging examination of chest X - ray and pulmonary CT in time to diagnose lobar pneumonia. In patients with lobar pneumonia serum LDH, HBDH level changes are mainly the result of lung tissue damage itself, or indeed with myocardial damage, or for the body of other tissues infected with the immune damage the combined results remains to be further observed and studied .