急性一氧化碳中毒对心肌损害的分析  

Analysis of Acute Carbon Monoxide Poisoning to Cardiac Muscle Damage

作　　者：陈静芳[1] 赵学辉[1] 李济宏[1] 

机构地区：[1]河南省人民医院,450003

出　　处：《临床心电学杂志》2011年第3期209-211,共3页Journal of Clinical Electrocardiology

摘　　要：目的分析急性一氧化碳(CO)中毒对心肌的损害。方法选取我院2008年3月至2010年4月急诊入院的急性一氧化碳中毒患者68例,进行心电图、心肌酶临床观察,并做回顾性分析。结果一氧化碳中毒患者的心电图异常46例(67.6%),其中ST-T改变32例(52.9%),窦性心动过速12例(8.8%),窦性心动过缓4例(2.9%),QT间期延长1例(1.5%),室性早博1例(1.5%)。ST-T改变类急性心肌梗死样改变8例(11.8%),心肌酶增高32例(47.1%)。结论急性一氧化碳中毒可造成心脏不同程度的损害,表现为心电图及心肌酶异常,必须引起高度重视。心肌酶检查对急性CO中毒具有一定的诊断价值。ObjectiveTo analyze the damage of acute carbon monoxide（CO） poisoning to the heart.Methods sixty-eight emergence patients of acute carbon monoxide were collected.Data of electrocardiogram and myocardial zymogram were retrospectively analyzed.Results There were 46 patients（67.6%） whose electrocardiograms were abnormal.There were 32 cases（52.9%） with ST-T changes,12 cases（8.8%） with nodal tachycardia,4 cases（2.9%） with sinus bradycardia,1 case（1.5%） with QT prolonging,and 1 case（1.5%） with ventricular extrasystoles.There were 8 cases（11.8%） with ST-T changing acute myocardial infarction change,and 32 cases（47.1%） with myocardial zymogram rising.Conclusions Acute carbon monoxide poisoning not only does harm to central nervous system,but also has damage to the heart,which could draw our high attention.The examination of myocardial zymogram had some diagnosis value to acute carbon monoxide poisoning.

关 键 词：急性一氧化碳中毒 心电图 心肌酶 

分 类 号：R595.1[医药卫生—内科学]