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本文对32例秋季腹泻患儿临床观察,心电图检查及血清心肌酶的测定。资料表明:56,2%的病例呼吸道症状先于腹泻出现,提示病毒可能由呼吸道侵入形成病毒血症;50.0%的病例出现心电图异常,其中ST—T改变的47.2%,2项及2项以上血清心肌酶异常的为78.1%。酶学的改变程度与病情轻重无明显相关性,提示秋季腹泻患儿在急性期有程度不等的心肌损害,临床表现及心电图改变转轻,提示这类病例多以亚临床型或潜伏型为主.血清心肌酶的异常改变明显,可作为临床判断心肌损害的敏感指标。
In this paper, 32 cases of children with autumnal diarrhea clinical observation, ECG and serum myocardial enzyme determination. Data show that: 56,2% of cases of respiratory symptoms precede diarrhea, suggesting that the virus may be invaded by the respiratory tract to form viremia; 50.0% cases of ECG abnormalities, including ST-T changes in 47.2%, 2 And two or more abnormalities of serum myocardial enzymes were 78.1%. The degree of change of enzymology was not significantly correlated with the severity of illness, suggesting that children with autumn diarrhea had varying degrees of myocardial damage in acute phase, and their clinical manifestations and changes of electrocardiogram turned lighter, suggesting that these cases mostly subclinical or latent type the Lord. Serum myocardial enzyme abnormal changes significantly, as a clinical indicator of myocardial damage.