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本文对30例秋季腹泻患儿进行临床观察,心电图检查及血清心肌酶的测定。资料表明:56.7％的病例呼吸道症状先于腹泻出现,提示病毒可能由呼吸道侵入形成病毒血症;50.0％的病例出现心电图异常,其中43.3％为ST-T改变;83.3％的病例出现2项及2项以上的血清心肌酶异常。酶学的改变程度与病情轻重无明显相关性,提示秋季腹泻患儿在急性期有程度不等的心肌损害,临床表现及心电图改变轻微,提示这类病例多以潜伏型或亚临床型为主,血清心肌酶的异常改变显著,可作为临床判断心肌损害的敏感指标。
In this paper, 30 cases of children with autumnal diarrhea clinical observation, ECG and serum myocardial enzyme determination. Data show that: 56.7% of the cases of respiratory symptoms precede diarrhea, suggesting that the virus may enter the respiratory tract to form viremia; 50.0% of the cases of ECG abnormalities, of which 43.3% were ST-T changes; 83.3% of the cases there were 2 and Two or more abnormal serum myocardial enzymes. There was no significant correlation between the degree of change of enzyme and the severity of disease, suggesting that children with autumn diarrhea had varying degrees of myocardial damage in acute phase. The clinical manifestations and ECG changes were slight, suggesting that these cases were mainly latent or subclinical , Abnormal changes of serum myocardial enzymes significantly, can be used as a sensitive indicator of clinical diagnosis of myocardial damage.