急性酒精中毒引起心脏损害80例临床分析  

The Clinical Analysis of 80 Cases with Heart Damage Caused by Acute Alcohol Poisoning

作　　者：王利娜[1] 付印[1] 赵云芳[1] 宋军朝[1] 

机构地区：[1]石家庄市解放军260医院门诊部,石家庄050041

出　　处：《中国医药导刊》2008年第6期865-866,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:对比分析急性酒精中毒者心电图、心肌酶变化,探讨不同程度急性酒精中毒与心脏损害的关系。方法:对203例中、重度急性酒精中毒患者做常规心电图、心肌酶检测,对其中80例心脏受损者进行心电图、心肌酶跟踪观察。结果:心电图异常发生率及心肌酶升高率随中毒程度而增高(P<0.01)。传导阻滞发生率也随中毒程度加重而增加(P<0.05),经及时治疗,心电图、心肌酶均恢复正常。结论:急性酒精中毒程度与心脏损害发生率及程度呈正比,急性酒精中毒对心脏损害,经积极治疗大多数是可逆的。但中毒越重心电图、心肌酶恢复时间越长。Objective： To study the relation between acute alcohol poisoning and heart damage by comparing the changes of electrocardiogram （ECG） and myocardial enzyme in patients with acute alcohol poisoning. Method： 203 patients with middle and severe alcohol poisoning were enrolled. ECG and myocardial enzyme were continuously measured in 80 patients with heart damage. Results： The incidence of ECG abnormality and myocardial enzyme level showed a significant increase with poisoning seventy （P 〈 0.01）.The incidence of heart block showed the same tendency （P 〈 0.05）. After treatment ECG and myocardial enzyme levels were normal in patients with heart damage.Conclusions： The incidence and extent of heart damage showed a positive correlation with the degree of acute alcohol poisoning. It is usually reversible for heart damage caused by acute alcohol poisoning after effective treatment. But the more severe the poisoning is, the longer the recovery time of ECG and myocardial enzyme will be.

关 键 词：急性酒精中毒 心脏损害 心电图 心肌酶 

分 类 号：R595.6[医药卫生—内科学] R541[医药卫生—临床医学]