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急性毒鼠强中毒病人的心肌酶谱变化及临床意义 被引量:3

THE CHANGES OF MYOCARDIAL ENZYMOGRAM OF THE PA-TIENTS WITH ACUTE TETRAMINE POISONING
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摘要 目的:探讨急性毒鼠强中毒病人心肌酶谱变化规律。方法:对68例急性毒鼠强中毒病人的心肌酶犤天冬氨酸转氨酶(AST)、乳酸脱氢酶(LDH)、肌酸激酶(CK)、肌酸激酶同功酶MB(CK-MB)犦进行连续监测,并观察病人心脏功能改变。结果:急性毒鼠强中毒病人心肌酶均有不同程度升高,临床心脏检查及心电图异常占75%。提示心肌损害存在;心肌酶随病情改善呈恢复趋势。结论:急性毒鼠强中毒造成心肌细胞的损害是可逆的,重症病人应加强心脏监护,以防心原性猝死发生。 Objective:To investigate the change pattern of myocardial enzymes of the pa-tients with acute Tetramine poisoning.Method:The four kinds of myocardial enzymes(AST,LDH,CK and CK-MB)of the68patients with acute Tetramine poisoning were constantly inspected and the heart functions of the patients were monitored.Results:The all inspected myocardial enzymes of the patients showed high level in the different degree.Clinical heart test and electrocardiogram showed ab-normal rate was75%.It inferred that myocardial damages were existence and myocardial enzyme levels showed the recovery tendency following the illness improvement.Conclusion:The myocardial damages resulted from acute Tetramine poisoning were reversible.The heart should be monitored for the heavy patients in order to prevent cardiogenic sudden death.
作者 吴春英 陈英
出处 《海南医学院学报》 CAS 2002年第3期151-153,共3页 Journal of Hainan Medical University
关键词 急性毒鼠强中毒 心肌酶谱 临床意义 心源性猝死 Tetramine enzyme s cardiacmusde children
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