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同步检测76例窒息新生儿血浆ET-1、ECG、血气分析、血清心肌酶、Cr、BUN、β2-MG、尿β2-MG。结果表明:患儿血浆ET-1水平在ECG示心肌受损者明显高于ECG正常者,血气示呼吸衰竭者明显高于血气正常者(P<0.001)。患儿血清Cr、BUN及β2-MG与血浆ET-1明显正相关(P<0.05)。在病情严重的患儿当中,死亡者血浆ET-1明显高于存活者(P<0.05)。提示ET-1与新生儿窒息后心、肺、肾功能受损有密切关系,拮抗ET-1的病理作用可能在治疗学上有一定意义。
The plasma levels of ET-1, ECG, blood gas analysis, serum myocardial enzymes, Cr, BUN, β2-MG and urinary β2-MG in 76 neonates with asphyxia were detected synchronously. The results showed that the plasma levels of ET-1 in children with myocardial infarction were significantly higher than those with normal ECG, and those with respiratory failure were significantly higher than those with normal blood gas (P <0.001). Children with serum Cr, BUN and β2-MG and plasma ET-1 was significantly correlated (P <0.05). Plasma ET-1 levels were significantly higher in survivors than in survivors (P <0.05). These results suggest that ET-1 is closely related to impaired cardiopulmonary, pulmonary and renal function after neonatal asphyxia. Antagonism of ET-1 may be of therapeutic significance.