国际医药卫生导报2014，Vol.20Issue(11)：1505-1507,3.DOI:10.3760/cma.j.issn.1007-1245.2014.11.010
手足口病合并心肌损害患儿的心电图特点及临床意义
Electrocardiograph features and its clinical value in children with hand-foot-mouth disease combined with myocardial injury
摘要
Abstract
Objective To assess the features of myocardial enzyme and electrocardiograph (ECG) in the children with hand-foot-mouth disease (HFMD).The result of our research maybe could provide a kind of method to diagnose and promote earlier therapy in HFMD.Methods This was a cross-sectional study of analyzing 120 children diagnosed as HFMD,while another 120 healthy children were defined as the control group.All participants had the ECG examination and were taken the blood sample to test the myocardial enzyme level before and after the treatment.ECG and myocardial enzyme level in two groups were respectively performed.Results Creatine kinase (CKMB),lactate dehydrogenase (LDH),acid aspartate aminotransferase (AST),α hydroxybutyrate dehydrogenase High (HBDH) Horizontal in children with HFMD were higher in contrast to those of the control group,and the differences were statistically significant (P ＜ 0.05).CK-MB,LDH,CK,AST,HBDH levels decreased when the children got the treatment (P ＜ 0.05).Before getting the treatment,ECG abnormalities of the children with HFMD mainly concluded tachycardia,ST-T changes in conduction block and premature contraction,etc.,which showed significantly lower rates of appearance after being treated,but someone still had a two-way or flat T waves.Conclusion As for the earlier diagnosis,treatment and improving the prognosis of HFMD,it is great valuable to have the ECG examination to test myocardial enzyme level earlier.关键词
心电图/心肌酶/手足口病Key words
Electrocardiograph/Myocardial enzyme/Hand-foot-mouth disease引用本文复制引用
林楚容,潘海贤,吴华红..手足口病合并心肌损害患儿的心电图特点及临床意义[J].国际医药卫生导报,2014,20(11):1505-1507,3.基金项目
汕头市科技计划项目([2010]63号-1) （[2010]63号-1）
