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目的探讨急性一氧化碳中毒对心脏的损害,使急性CO中毒患者得到更全面的治疗。方法观察70例急性一氧化碳中毒患者的心电图及心肌酶改变。结果发现48例出现心肌酶改变(68.6%),40例出现心电图改变(57.1%),其中,ST-T改变20例(28.6%),窦性心动过速24例(34.3%),快速房颤7例(10%),室性早搏4例(5.71%),心电图正常15例(21.4%)。结论急性一氧化碳中毒患者大部分心肌酶有不同程度升高,心电图有相应改变,心肌酶的改变明显优于心电图,前者更有临床意义,需要引起重视。
Objective To investigate the damage to the heart caused by acute carbon monoxide poisoning, so that patients with acute CO poisoning can get more comprehensive treatment. Methods The changes of electrocardiogram and myocardial enzymes in 70 patients with acute carbon monoxide poisoning were observed. The results showed that myocardial enzymes were found in 48 cases (68.6%) and electrocardiographic changes in 40 cases (57.1%). ST-T changed in 20 cases (28.6%), sinus tachycardia in 24 cases (34.3% 7 cases (10%) of tremor, 4 cases of premature ventricular contractions (5.71%) and 15 cases (21.4%) of normal electrocardiogram. Conclusion Most of patients with acute carbon monoxide poisoning have elevated myocardial enzymes to varying degrees, corresponding changes in ECG, changes in myocardial enzymes were significantly better than the electrocardiogram, the former is more clinically significant and needs attention.