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目的:探讨血清磷、肌酸激酶及其同工酶的测定对小儿绞窄性肠梗阻早期诊断的价值。方法:检测不同类型、不同阶段肠梗阻患儿血清磷、肌酸激酶及其同工酶的浓度,通过统计学分析他们之间的关系。结果:绞窄性肠梗阻患儿血清磷、肌酸激酶及其同工酶浓度明显高于单纯性肠梗阻组和对照组(P<0.01),而单纯性肠梗阻组与对照组比较差异无统计学意义(P>0.05)。结沦:肌酸激酶及其同工酶对早期诊断肠绞窄有重要意义,可对手术时机的选择提供参考,而血清磷升高提示可能存在肠坏死。
Objective: To investigate the value of serum phosphorus and creatine kinase and its isoenzymes in the early diagnosis of pediatric strangulated intestinal obstruction. Methods: The levels of serum phosphorus and creatine kinase and its isoenzymes in children with different types and stages of intestinal obstruction were detected, and the relationship between them was statistically analyzed. Results: Serum phosphorus and creatine kinase and its isoenzymes were significantly higher in children with strangulated intestinal obstruction than those in simple intestinal obstruction and control groups (P <0.01), while those in simple intestinal obstruction group and control group were no difference Statistical significance (P> 0.05). Conclusions: Creatine kinase and its isoenzymes have important significance for the early diagnosis of intestinal strangulation, and may provide a reference for the timing of surgery. Elevated serum phosphorus may indicate intestinal necrosis.