心室晚电位在婴幼儿手足口病合并心肌炎中的临床价值
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摘要
目的:探讨心室晚电位(VLP)在婴幼儿手足口病合并心肌炎中的临床价值。方法:选择2012年1月～2015年12月在我院儿科确诊的手足口病患儿80例,根据心肌炎严重程度分为轻症组(n=58)和重症组(n=22),再选择同期健康体检患儿40例作为对照组,均给予VLP检测。结果:轻症组VLP均为阴性,重症组VLP的阳性率为77.27%。结论:VLP可对手足口病合并心肌炎患儿的病情严重程度及预后作出评价,对于早期诊断出重症心肌炎患儿,降低死亡率具有重要临床参考价值。
Objective:To explore the clinical value of ventricular late potentials(VLP)for infants of hand-footmouth disease combined with viral myocarditis.Methods:80 cases diagnosed as hand-foot-mouth disease from January 2012 to December 2015 in our hospital were selected and divided into the mild group(n=58)and the severe group(n=22)according to the severity of myocarditis.40 cases of healthy children in the same period were taken as the control group.All children were given the detection of VLP.Results:The VLP were negative in the mild group.The postitive rate of VLP in the severe group was up to 77.27%.Conclusion:VLP is a potential evaluation indicator for severity and prognosis of hand-foot-mouth disease combined with viral myocarditis.It plays an important role in early diagnosis of children with severe myocarditis and reduction of mortality.
Objective:To explore the clinical value of ventricular late potentials(VLP)for infants of hand-footmouth disease combined with viral myocarditis.Methods:80 cases diagnosed as hand-foot-mouth disease from January 2012 to December 2015 in our hospital were selected and divided into the mild group(n=58)and the severe group(n=22)according to the severity of myocarditis.40 cases of healthy children in the same period were taken as the control group.All children were given the detection of VLP.Results:The VLP were negative in the mild group.The postitive rate of VLP in the severe group was up to 77.27%.Conclusion:VLP is a potential evaluation indicator for severity and prognosis of hand-foot-mouth disease combined with viral myocarditis.It plays an important role in early diagnosis of children with severe myocarditis and reduction of mortality.
引文
[1]王卫平.儿科学[M].第8版.北京:人民卫生出版社,2014:207-209.
[2]曹雪笠.心室晚电位[J].现代电生理学杂志,2013,20(1):60-61.
[3]杨晓梅,郑绪旦,刘晓红.心室晚电位的临床应用[J].中国临床研究,2012,25(11):1123-1124.
[4]詹正学.24h动态心电图在儿童病毒性心肌炎中的诊断意见[J].基层医学论坛,2016,20(10):1389-1390.
[5]许秋艳.儿童病毒性心肌炎61例的心电图分析[J].全科医学临床与教育,2015,13(5):576-577.
[6]李媛霞.儿童病毒性心肌炎心电图表现分析与临床意义[J].内蒙古医科大学学报,2015,37(S1):316-319.
[7]李东明,林明,黄冠新.45793例儿童手足口病临床特点分析[J].中华妇幼临床医学杂志(电子版),2017,13(5):545-550.
[8]张勇,周美珍,段广银,等.手足口病280例心脑电图临床分析[J].实用医技杂志,2017,24(9):1003-1004.
[9]孙德利,刘东方,董晶.重症病毒性心肌炎患儿心室晚电位临床分析[J].实用儿科临床杂志,2009,24(13):1008-1009.
[10]施筱晶.心室晚电位与室性心律失常之相关性[J].中国实用医药,2008,3(4):57-58.
[2]曹雪笠.心室晚电位[J].现代电生理学杂志,2013,20(1):60-61.
[3]杨晓梅,郑绪旦,刘晓红.心室晚电位的临床应用[J].中国临床研究,2012,25(11):1123-1124.
[4]詹正学.24h动态心电图在儿童病毒性心肌炎中的诊断意见[J].基层医学论坛,2016,20(10):1389-1390.
[5]许秋艳.儿童病毒性心肌炎61例的心电图分析[J].全科医学临床与教育,2015,13(5):576-577.
[6]李媛霞.儿童病毒性心肌炎心电图表现分析与临床意义[J].内蒙古医科大学学报,2015,37(S1):316-319.
[7]李东明,林明,黄冠新.45793例儿童手足口病临床特点分析[J].中华妇幼临床医学杂志(电子版),2017,13(5):545-550.
[8]张勇,周美珍,段广银,等.手足口病280例心脑电图临床分析[J].实用医技杂志,2017,24(9):1003-1004.
[9]孙德利,刘东方,董晶.重症病毒性心肌炎患儿心室晚电位临床分析[J].实用儿科临床杂志,2009,24(13):1008-1009.
[10]施筱晶.心室晚电位与室性心律失常之相关性[J].中国实用医药,2008,3(4):57-58.