Patient's question:
Previous treatment and outcomes: Due to amniotic fluid inhalation, test results: Blood test on day 2, currently medication granules 0.4. What kind of assistance is needed: How severe is it, can be discharged, taking oral medicationDoctor's answer:
Currently, in clinical diagnosis, serum AST, LDH, CK, CK-MB, and α-HBDH are commonly used as relevant test indicators for aspiration ischemic myocardial damage. Among these, AST and LDH have a wide distribution in the body and exhibit poor specificity, with higher concentrations in the kidneys and skeletal muscles. CK is abundant in skeletal muscles, followed by cardiac and brain tissues. CK-MB is primarily found within the cytoplasm of cardiomyocytes, with extremely low levels outside the heart, making it a myocardial-specific enzyme. α-HBDH is an important enzyme in the process of ketone body hydrolysis and utilization, primarily present in the brain and heart. A decrease in α-HBDH indicates brain and cardiac damage, especially when the decline in α-HBDH is greater than that in LDH, suggesting significant heart and brain damage. The data in this group showed an incidence of myocardial damage of 80% (66/82), with clinical manifestations including tachycardia or bradycardia, low-pitched heart sounds, and arrhythmia.