论文部分内容阅读
目的:急性中毒是急诊科常见疾病,心律失常可发生于大部分中毒患者,研究急性中毒所致的心律失常特点有助于疾病的临床诊治。方法:回顾性分析广州城区急性中毒组、冠心病心律失常组以及特发性心律失常组心电图、临床资料、心肌酶学以及临床诊治特点。结果:急性中毒组以急性酒精中毒为主(70%),三组最常见心律失常类型分别是:窦性心动过速(90%)、室性心动过速(30%)以及室上性心动过速(45%)。急性中毒组发病年龄、基础疾病以及平均住院时间显著低于其他两组(P<0.01),三组间肌酸激酶同工酶(CK-MB)以及α-羟基丁酸脱氢酶(HBDH)有统计学差异(P<0.05)。结论:急性酒精中毒以及窦性心动过速是广州城区常见的急性中毒以及心律失常类型,临床治疗上以清除毒素、营养心肌为主,并有着良好的预后。
OBJECTIVE: Acute poisoning is a common disease in emergency department. Arrhythmia can occur in most patients with poisoning. It is helpful to study the clinical characteristics of arrhythmia caused by acute poisoning. Methods: The electrocardiogram, clinical data, myocardial enzymology and clinical diagnosis and treatment characteristics of acute poisoning group, coronary heart disease arrhythmia group and idiopathic arrhythmia group were retrospectively analyzed. Results: Acute poisoning was mainly based on acute alcoholism (70%). The most common types of arrhythmias in the three groups were sinus tachycardia (90%), ventricular tachycardia (30%) and supraventricular cardioversion Over speed (45%). The age of onset, underlying diseases and average length of hospital stay in acute poisoning group were significantly lower than those in the other two groups (P <0.01). CK-MB, HBDH, There was a significant difference (P <0.05). Conclusion: Acute alcoholism and sinus tachycardia are common acute poisoning and arrhythmia types in Guangzhou city. The main clinical treatment is to remove toxins and nutrition myocardium, and have a good prognosis.