| 摘要: |
| ［摘要］ 目的 探讨小儿肺炎支原体肺炎（mycoplasma pneumonia，MPP）血心肌酶CK-MB变化的临床意义。方法 对128例MPP患儿全部行心肌酶谱、心电图和胸片检测，并对其结果进行分析及随访观察。结果 128例MPP患儿中，CK-MB升高的34例（26.56%），心电图异常13例（10.16%），胸片显示心胸比率均正常。大部分患儿治疗后复查心肌酶和心电图均恢复正常。结论 小儿肺炎支原体肺炎发生心肌损害较常见，由于其主诉表达不清，症状、体征不典型，容易漏诊。对心肌损害的诊断CK-MB较心电图更敏感，故MPP患儿应常规查心肌酶，以便及早诊断，及时给予保护心肌治疗。 |
| 关键词: 肺炎支原体肺炎 肌酸激酶同工酶（CK-MB） |
| DOI：10.3969/j.issn.1674-3806.2010.09.30 |
| 分类号:R 563.1 |
| 基金项目: |
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| Clinical significance of changes of serum creatine kinase isozyme MB in children with mycoplasma pneumoniae pneumonia |
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LI Nian, HE Ming
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Maternal and Child Health Hospital of Wuzhou, Guangxi 543000，China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical significance of changes of serum creatine kinase isozyme MB(CK-MB) in children with mycoplasma pneumoniae pneumonia(MPP).Methods Detection of serum myocardial enzymes, electrocardiogram and X-ray examination were performed in all of 128 children with mycoplasma pneumoniae pneumonia. The results were analyzed and children were followed up.Results The increase of serum CK-MB was found in 34 children (26.56%); abnormal electrocardiogram was found in 13 children (10.16%) in 128 children. After treatment,serum myocardial enzymes and electrocardiogram in most of children can return to normal. Cardiothoracic ratio was normal during course of disease.Conclusion Myocardial damage is a relative common phenomenon in process of mycoplasma pneumoniae pneumonia. The absence of expression ability, the untypical symptoms and signs in children might lead to a missed diagnosis. The serum CK-MB is more sensitive to the diagnosis of myocardial damage in children than the electrocardiogram. In order to diagnose the disease early, serum myocardial enzymes should be used as a routine test in children with mycoplasma pneumoniae pneumonia.So the timely measures of protecting myocardium could be carried out in those children. |
| Key words: Mycoplasma pneumoniae pneumonia Creatine kinase isozyme MB(CK-MB) |
