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目的探讨手足口病合并心肌损害的临床分析及预后。方法选择2008年5月至2009年3月86例手足口病患儿常规行心肌酶学及心电图检查,观察治疗心肌酶学及心电图的变化及预后。结果大多数患儿存在CK-MB、CK等心肌酶不同程度升高且心肌酶升高程度越高,心肌损害越严重,心电图异常变化非特异性,但较少出现严重心律失常及心力衰竭。结论手足口病患儿合并心肌损害大多数预后良好,但心肌酶显著升高者易出现严重心律失常及心力衰竭患儿,应及时采取有效的治疗。
Objective To investigate the clinical analysis and prognosis of hand foot and mouth disease combined with myocardial damage. Methods From May 2008 to March 2009 86 cases of hand, foot and mouth disease in children with routine myocardial enzymes and ECG examination, observation and treatment of myocardial enzymes and ECG changes and prognosis. Results Most of children had CK-MB, CK and other myocardial enzymes increased to varying degrees and elevated myocardial enzymes, the more serious myocardial damage, abnormal ECG changes non-specific, but less serious arrhythmia and heart failure. Conclusions Most children with hand-foot-mouth disease have a good prognosis with myocardial damage. However, those with severe myocardial enzyme increase are prone to severe arrhythmia and heart failure, and timely and effective treatment should be taken.