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目的:观察急性一氧化碳中毒(ACOP)患者心肌受损情况及相关因素。方法:对1997年2月至2000年3月住院治疗的ACOP患者54例进行临床观察、血清心肌酶测定和心电图(ECG)检查,并与正常对照组比较。结果:对照组及轻、中、重度患者心肌酶的异常率分别为2.0％、18.3％、31.5％和81.0％,心电图异常率分别为7.5％、33.3％、42.8％和85.0％,ACOP组间及与对照组之间差异均具有显著性意义。结论:ACOP引起的心肌受损十分普遍,且随ACOP程度的加深而显著地增加,在治疗ACOP时应注意保护和营养心肌。
Objective: To observe the myocardial damage and related factors in patients with acute carbon monoxide poisoning (ACOP). Methods: Clinical observation, serum myocardial enzyme test and electrocardiogram (ECG) were performed in 54 cases of ACOP hospitalized from February 1997 to March 2000 and compared with the normal control group. Results: The abnormal rates of myocardial enzymes in control group and mild, moderate and severe patients were 2.0%, 18.3%, 31.5% and 81.0% respectively. The abnormal rates of electrocardiogram were 7.5%, 33.3%, 42.8% and 85.0% And the difference between the control group have significant significance. Conclusion: ACOP - induced myocardial damage is very common, and with the deepening of ACOP increased significantly, in the treatment of ACOP should pay attention to the protection and nutrition of the myocardium.