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目的分析儿童急性胰腺炎合并心肌损害的原因和临床表现。方法收集我院2004年4月至2010年9月收治108例儿童急性胰腺炎患儿,对其临床、生化、影像学及其治疗进行分析。结果 108例儿童急性胰腺炎患者中合并心肌损害患儿52例,其中心肌酶谱异常者31例,心电图异常者36例,其心电图异常者心肌酶谱明显增高,患儿血淀粉酶持续增高者,其心电图和心肌酶谱改变越重。结论急性胰腺炎可并发全身炎症反应综合征及胰腺外多器官损害,其中以心肌损害最为常见。
Objective To analyze the causes and clinical manifestation of acute pancreatitis complicated with myocardial damage in children. Methods A total of 108 children with acute pancreatitis were collected from April 2004 to September 2010 in our hospital, and their clinical, biochemical, imaging and treatment were analyzed. Results Among 108 children with acute pancreatitis, 52 cases were complicated with myocardial damage. Among them, 31 cases were abnormal myocardial enzymes and 36 cases were abnormal electrocardiogram. The myocardial enzymes of patients with abnormal electrocardiogram were significantly increased, , The heavier changes in ECG and myocardial enzymes. Conclusion Acute pancreatitis may be complicated by systemic inflammatory response syndrome and multiple organ damage outside the pancreas, of which myocardial damage is the most common.