肺源性心脏病患者肺部感染前后心电图及心肌酶的变化研究

发布时间：2018-01-01 20:26

本文关键词：肺源性心脏病患者肺部感染前后心电图及心肌酶的变化研究　出处：《中华医院感染学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的探讨肺源性心脏病患者肺部感染前后心电图及心肌酶的变化,为临床诊治提供参考。方法选取2015年6月-2016年6月在医院诊治的肺源性心脏病并发肺部感染患者60例,均并发心律失常,在入院后给予抗感染治疗,感染未控制前不给予抗心律失常药物,对患者感染控制前(入院后感染确诊时)、感染控制后进行心电图及心肌酶检查。结果感染控制前心电图检查显示,分别有41例房性早搏、26例房颤、31例窦性心动过速、32例窦性心动过缓、14例房室传导阻滞、27例束支传导阻滞、28例室性早搏,分别占68.33%、43.33%、51.67%、53.33%、23.33%、45.00%、46.67%,感染控制后心电图检查显示,分别有28例房性早搏、14例房颤、18例窦性心动过速、15例窦性心动过缓、6例房室传导阻滞、14例束支传导阻滞、16例室性早搏,分别占46.67%、23.33%、30.00%、25.00%、10.00%、23.33%、26.67%,感染控制前后比较差异有统计学意义(P0.05);患者感染控制后肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)、乳酸脱氢酶(LDH)、天门冬氨酸转氨酶(AST)水平低于感染控制前,感染控制前后比较差异有统计学意义(P0.05)。结论肺源性心脏病并发肺部感染患者感染控制后,心律失常可得到一定程度改善,心肌酶水平可有一定程度降低。应积极预防和尽早控制肺部感染。
[Abstract]:Objective to investigate the pulmonary heart before and after ECG and myocardial enzymes in patients with pulmonary infection, and provide reference for clinical diagnosis and treatment. Methods from June 2015 June -2016 in pulmonary heart disease complicated with pulmonary hospital infection in patients with 60 cases were complicated with arrhythmia, anti infection treatment after hospitalization, uncontrolled infection before given the anti arrhythmic drugs to control infection patients (diagnosed after admission), after controlling infection of electrocardiogram and myocardial enzyme examination. The infection control before ECG examination showed that there were 41 cases of atrial premature atrial fibrillation, 26 cases, 31 cases of sinus tachycardia, 32 cases of sinus tachycardia slowly, 14 cases of atrioventricular block, 27 cases of atrioventricular block, 28 cases of ventricular premature beat, respectively 68.33%, 43.33%, 51.67%, 53.33%, 23.33%, 45%, 46.67%, infection control after ECG examination showed that there were 28 cases of atrial premature beat, 14 cases of atrial fibrillation, 18 cases of sinus tachycardia, 15 cases of sinus bradycardia, 6 cases of atrioventricular block, 14 cases of atrioventricular block, 16 cases of ventricular premature beat, respectively 46.67%, 23.33%, 30%, 25%, 10%, 23.33%, 26.67%, infection control difference was statistically significant (P0.05); control after the infection with creatine kinase (CK), creatine kinase isoenzyme (CK-MB), lactate dehydrogenase (LDH), aspartate aminotransferase (AST) level is lower than the infection control, infection control and the difference was statistically significant (P0.05). Conclusion the pulmonary heart disease complicated with pulmonary infection control after the infection with arrhythmia have a certain degree of improvement, myocardial enzyme level can be reduced to some extent. We should actively prevent and control lung infection as soon as possible.

【作者单位】：新乡医学院第二附属医院功能检查科;
【分类号】：R540.41;R541.5
【正文快照】： 肺源性心脏病简称为肺心病,是由肺动脉或胸廓发生慢性病变所引起的肺循环阻力增大后导致的心脏病变,主要表现为右心室肥大及肺动脉高压,最终可发展为心力衰竭,是呼吸系统最常见的疾病之一,多发于中老年人群,尤其是长期患有慢性阻塞性肺疾病、慢性支气管疾病时患者可随着病情发

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