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目的加强轮状病毒感染并发心肌炎的临床观察。方法随机抽取平棉纺织集团股份有限公司职工医院收治轮状病毒感染并发心肌炎患儿29例,密切监测心电图、心肌酶谱、肌钙蛋白等值,并探究患儿脱水情况。结果 29例患儿治疗前心电图异常86.2%,早期无特异性症状,患儿LDH、CK、cTnT和CK-MB值明显高于正常值,脱水程度越严重,患儿LDH、CK、cTnT和CK-MB值越高(P<0.01)。结论轮状病毒感染并发心肌炎早期无特异性症状,危害性大,病情发展后表现为心肌受损,脱水程度越严重,病情越严重。因此需早期发现,及时治疗。
Objective To strengthen the clinical observation of rotavirus infection complicated with myocarditis. Methods Totally 29 children with rotavirus infection complicated with myocarditis were enrolled in the staff hospital of Ping Mian Textile Group Co., Ltd., and electrocardiogram, myocardial zymogram and troponin were monitored closely, and the dehydration of children was investigated. Results Before treatment, 29 children had an abnormal electrocardiogram (86.2%) and no specific symptoms at early stage. The values of LDH, CK, cTnT and CK-MB in children were significantly higher than normal and the degree of dehydration was more serious. The levels of LDH, CK, cTnT and CK The higher the -MB value (P <0.01). Conclusion Rotavirus infection complicated with myocarditis early non-specific symptoms, great harm, the performance of the disease after myocardial damage, the more serious dehydration, the more serious the disease. Therefore need early detection, timely treatment.