有机磷农药中毒致心律失常分析

目的：观察有机磷农药中毒对患的心电图的影响及其在心律失常的发生，发展中所起的作用。方法：对32例重度有机磷农药中毒患及28例轻，中度患进行临床心电观察比较。结果：重度有机磷中毒患出现心律失常，与轻，中度中毒患比较，在统计学上有非常显性差异（P＜0．01），心律失常形式呈多样化，既有室性心律失常，也有室上性：既有快速型心律失常，也有缓慢型。结论：对重度有机磷农药中毒引起的多种类型心律失常，应密切观察，及时发现，及时处理，绝大部分病人经治疗，心律失常可纠正。

Effect of acute organophosphorus pesticide poisoning on arrhythmia

Objective To observe the characteristics of arrhythmia in acute poisoning patients by organophosphorus pesticide. Methods Retrospective analysis in patients with organophosphorus pesticide toxicosis was carried out and the patients were divied into two groups (mild moderate and severe poisoning) according to extent of clinical intoxication. Electrocardiograms (ECGs) were performed on 1?2?3 and 7 days after poisoning respectively.Results Many kinde of arrhythmia can be observed in patients with organophosphorus pesticide toxicosis. There were significant difference between severe group and mild moderate group. Conclusion Serial measurement of ECG may be useful and necessary for the treatment, and most of such patients could be cured.