4例血清磷酸激酶改变与心电图表现的分析  

Analysis of 4 cases with creatinekinase changes and ECG performance

作　　者：黄赛银[1] 袁琳[1] 

机构地区：[1]汕头大学医学院第一附属医院心电图室,515041

出　　处：《中国实用医药》2011年第9期32-33,共2页China Practical Medicine

摘　　要：目的研究电击伤后人体血清磷酸肌酶(CK)升高程度与心肌受损程度的相关性,探讨其对临床诊治的意义。方法对4例在我院诊治的电击伤患者,在电击伤后紧急检查常规心电图(ECG)、血清磷酸肌酶(CK),进行回顾性分析血清CK与常规ECG中ST-T表现的相关性。结果 4例电击伤后,均出现呼吸、心搏停止经抢救复苏后送往医院的患者。急查血清CK高达1722～15484U/L(正常值38～174U/L),比正常值高100～1000倍,同时常规ECG中ST段与T波正常。结论电击伤后,如果电击点不是直接对着心脏,心脏停搏是一种中枢性抑制,经抢救在短时间内恢复呼吸、心搏、血液循环,心肌细胞细胞不会受损伤。Objective Discuss the relationship between the degree of creatinekinase（CK） in human serum and the damage degree of myocardial after electrical injury.Investigate the significance for clinical diagnosis and treatment.Methods 4 cases of electrical injury patients in our hospital with electrocardiogram（ECG）and serum creatinekinase（CK）were inspected,4 patients were retrospectively analyzed the relationship between CK and ECG ST-T performance.Results In 4 cases after electrical injury with breathing,cardiac and circulatory arrest were rescued and recovered patients,serum CK increased to 1722~15484 U/L（normal 38 U/L^174 U/L）,100 to 1,000 times higher than normal,while in the conventional ECG,ST segment and T wave showed normal results.Conclusion Cardiac arrest is a central inhibition in electrical injury,if the shock point is not directly at the heart.If the patient was rescued in a short period of time and restore breathing,heartbeat and circulation,there will be no damage in myocardial cells.

关 键 词：电击伤 心电图 ST-T改变 血清磷酸肌酶 

分 类 号：R647[医药卫生—外科学]