吴国平, 饶平, 黄晓辉. 急性一氧化碳中毒168例致心肌损害分析[J]. 心脏杂志, 2009, 21(6): 862-864.
    引用本文: 吴国平, 饶平, 黄晓辉. 急性一氧化碳中毒168例致心肌损害分析[J]. 心脏杂志, 2009, 21(6): 862-864.
    shu
    Analyses of cardiac muscle damage caused by acute CO poisoning[J]. Chinese Heart Journal, 2009, 21(6): 862-864.
    Citation: Analyses of cardiac muscle damage caused by acute CO poisoning[J]. Chinese Heart Journal, 2009, 21(6): 862-864.
    shu

    急性一氧化碳中毒168例致心肌损害分析

    Analyses of cardiac muscle damage caused by acute CO poisoning

      摘要
    • 摘要: 目的: 观察急性一氧化碳(CO)中毒对心肌的损害，探讨临床意义。方法: 观察分析急性CO中毒患者168例的临床表现、心电图及心肌酶改变。选取健康人130例作为健康对照组，并对两组间血清心肌酶的情况进行比较。结果: 急性CO中毒患者168例均有不同程度的意识障碍，昏迷125例（74.4%），出现心力衰竭24例（14.3%），有心电图改变者共132例（78.6%），其中ST-T改变128例(76.2%)。在168例CO中毒患者中101例（60.1%）血清心肌酶谱改变，轻度中毒无心肌酶改变，中、重度中毒者多有不同程度的心肌酶升高，与健康对照组相比差异有显著性(P<0.05)，病情越严重，心肌酶改变越明显，持续时间越长(P<0.05)。结论: 急性CO中毒对心肌造成的损害，需要相应的治疗。

       

      Abstract: AIM: To study cardiac muscle damage in acute CO poisoning. METHODS: Clinical manifestations, electrocardiograms (ECG) and cardiac muscle enzyme change of 168 patients (observed group) with acute CO poisoning were analyzed. Serum cardiac enzymes in 130 healthy subjects (control group) were compared with those in the observed group. RESULTS: In the observed group, unconsciousness was found in 125 cases (74.4%), cardiac muscle enzyme change in 101 cases (60.11%), and ECG change in 132 cases (78.6%), statistically different from those in the control group (P<0.05). The more serious the CO poisoning, the more obvious were the serum cardiac enzyme changes (P<0.05). CONCLUSION: Acute CO poisoning causes cardiac muscle damage, which requires appropriate treatment.

       

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