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目的探讨川崎病患儿与心电图改变的关系。方法 60例川崎病患儿在发病急性期及亚急性期均采用北京麦迪克斯12导同步心电图机描记心电图,同时做心脏超声心动图及抽静脉血查心肌酶、钠、钾、钙、镁、氯离子浓度。比较检查结果。结果 60例川崎病患儿心电图异常40例;28例川崎病患儿合并冠状动脉损伤,24例合并电解质紊乱,12例心肌酶升高。有冠状动脉损伤;心电图异常率高于无冠状动脉损伤组。有电解质异常组心电图异常率高于无电解质异常组。有心肌酶升高组心电图异常率高于无心肌酶升高组。年龄<3岁组心电图异常率高于年龄≥3岁组。男女性别两组心电图异常率差异无统计学意义。结论川崎病患儿心电图异常与是否合并冠状动脉损伤及心肌酶异常、电解质紊乱、年龄有关,与性别无关。
Objective To explore the relationship between Kawasaki disease and electrocardiogram changes. Methods 60 cases of Kawasaki disease in both acute and sub-acute stage of the disease were used Beijing-Medizin 12-lead synchronous electrocardiogram electrocardiogram, simultaneous echocardiography and venous blood to check myocardial enzymes, sodium, potassium, calcium and magnesium , Chloride ion concentration. Compare test results. Results 40 cases of Kawasaki disease electrocardiogram abnormalities in 60 cases; 28 cases of Kawasaki disease in children with coronary artery injury, 24 cases with electrolyte imbalance, 12 cases of myocardial enzymes increased. Coronary artery injury; ECG abnormalities higher than those without coronary artery injury group. Electrocardiogram abnormalities with electrolyte abnormalities were higher than those without electrolyte abnormalities. Patients with elevated myocardial enzymes ECG abnormalities higher than those without myocardial enzymes. Electrocardiographic abnormalities in patients younger than 3 years old were higher than those in patients ≥3 years old. There was no significant difference in abnormal rate of electrocardiogram between male and female genders. Conclusion Electrocardiogram abnormalities in children with Kawasaki disease are associated with coronary artery injury and abnormal myocardial enzymes, electrolyte imbalance, age, and sex.