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目的:探索不同性别及不同发病年龄段儿童肺炎支原体肺炎(MPP)合并心肌损害的差别及临床意义。方法:从我院2013年3月~2015年11月诊治的肺炎支原体肺炎患儿中抽取160例,在入院第二天均取空腹血检测患儿的LDH、CK、CK-MB水平,分别记录下不同性别及不同年龄段患儿的检测结果。结果:患儿心肌酶水平均有不同程度的升高,其中女孩CK和CK-MB水平明显高于男孩(P<0.05),但血清LDH水平无性别上的差异;各年龄段血清心肌酶均有升高,其中血清CK和CK-MB水平与年龄呈明显负相关,但血清LDH水平无年龄上的明显差异(P>0.05)。结论:患儿均有不同程度的心肌损伤,数据统计显示女孩及婴幼儿支原体肺炎患儿心肌损害程度较重,因此,应及时检测血清心肌酶变化,早诊断,早治疗。
Objective: To explore the difference and clinical significance of Mycoplasma pneumoniae pneumonia (MPP) combined with myocardial damage in children of different genders and ages. Methods: 160 cases of Mycoplasma pneumoniae pneumonia were diagnosed and treated in our hospital from March 2013 to November 2015. LDH, CK and CK-MB in children with fasting blood were measured on the second day after admission, respectively Under different gender and age groups of children test results. Results: The levels of myocardial enzymes in children were increased to some extent. The levels of CK and CK-MB in girls were significantly higher than those in boys (P <0.05), but there was no gender differences in serum LDH levels. There was a significant negative correlation between serum CK and CK-MB level and age, but serum LDH level had no significant difference in age (P> 0.05). Conclusion: There are different degrees of myocardial damage in children. Statistics show that myocardial damage in children and infants with mycoplasmal pneumonia is severe. Therefore, serum myocardial enzymes should be detected in time, and early diagnosis and early treatment should be taken.