摘要
目的探讨急性有机磷农药中毒(AOPP)病人心肌酶及心电图变化规律。方法对64例AOPP病人心肌酶(AST、LDH、α-HBDH、CK、CK-MB)和心电图进行连续监测,并观察病人心脏功能改变。结果AOPP病人心肌酶均有不同程度升高,且与中毒程度呈正相关;心肌酶随病情改善呈恢复趋势;AOPP病人的心电图也有异常改变,且与中毒程度呈正相关。结论心肌酶水平和心电图改变对AOPP病人的治疗和预后具有指导作用,心肌酶极度升高和心电图极度异常者,病情严重,预后不良。
Objective To study the rules of myocardial lesion and electrocardiogram （ECG） from acute organophosphorous insecticides poisoning（AOPP）. Methods Sixty - four patients of AOPP were observed in the way of their serum myocardial enzyme （AST, LDH,α- HBDH,CK,CK- MB ） and ECG,and their cardiac functions were examined too. Results Their serum myocardial enzyme were all elevated in different degree, and relative with severity of their intoxation;their serum myocardial enzyme would decrease when their disease became well;the ECG of these patients were abnomal at the same time and had certain relativity. Conclusions The serum myocardial enzyme and ECG of patients of AOPP had an important direction for their treatment and prognisis. If their serum myocardial enzyme were very far advanced and ECG were variously abnormal, their disease will be much servious and their prognosis will become very bad.
出处
《医学信息（内.外科版）》
2009年第4期318-319,共2页
Medical Information Operations Sciences Fascicule
关键词
有机磷农药
中毒
心肌损害
organophosphorus insecticides
poisoning
myocardial lesion
