| 急性一氧化碳中毒致心肌损害临床观察 |
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| 引用本文： | 高文丽,邸丕凡,赵丽萍,史红. 急性一氧化碳中毒致心肌损害临床观察[J]. 河北职工医学院学报, 2010, 27(2): 35-36,39 |
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| 作者姓名： | 高文丽 邸丕凡 赵丽萍 史红 |
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| 作者单位： | 河北大学附属医院,河北,保定,071000 |
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| 摘 要： | 目的探讨急性一氧化碳（acute carbon monoxide poisoning,ACOP）中毒患者血清心肌酶及心电图变化,了解对心肌损害情况。方法对44例急性CO中毒患者（轻度中毒组17例、中度中毒组9例、重度中毒18例）入院后24h内抽取空腹静脉血测定肌酸激酶（CK）、肌酸激酶同工酶（CK-MB）、乳酸脱氢酶（LDH）、α-羟丁酸脱氢酶（HBDH）、天门冬氨酸氨基转移酶（AST）,并常规描记体表心电图。结果急性轻度CO中毒患者血清心肌酶与正常对照组差异无统计学意义（P〉0.05）;中、重度中毒患者较轻度中毒患者明显增高（P〈0.05）,且中毒程度越重心肌酶越高;急性CO中毒可致心电图出现ST-T和各种心律失常改变。结论急性中、重度CO中毒患者存在心肌损害,中毒程度越深,心肌损害越重;CO中毒可致不同类型心电图改变。
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| 关 键 词： | CO中毒 心肌酶 心电图 |
Clinical research on acute carbon monoxide poisoning causing myocardial injury |
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| Gao Wenli,Di Pifan,Zhao Liping,et al.. Clinical research on acute carbon monoxide poisoning causing myocardial injury[J]. Journal of Hebei Medical College for Continuing Education, 2010, 27(2): 35-36,39 |
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| Authors: | Gao Wenli Di Pifan Zhao Liping et al. |
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| Affiliation: | Gao Wenli,Di Pifan,Zhao Liping,et al. (Affiliated Hospital of Hebei University,Baoding Hebei 071000,China) |
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| Abstract: | Objective To explore the changes of serum myocardial enzymes and electrocardiogram caused by ACOP (acute carbon monoxide poisoning) to know the degree of myocardial injury. Methods Within 24 hours after they were sent to the hospital, the blood of the 44 cases of acute CO poisoning patients(mild poisoning group of 17 cases, moderate poisoning group of 9 cases, severe poisoning group of 18 cases were tested to determine their creatine kinase (CK), creatine kinase isozymes (CK-MB), lactate dehydrogenase (LDH)... |
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| Keywords: | CO poisoning myocardial enzymes ECG |
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