急性毒鼠强中毒病人的心肌酶谱变化及临床意义

THE CHANGES OF MYOCARDIAL ENZYMOGRAM OF THE PA-TIENTS WITH ACUTE TETRAMINE POISONING

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.