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[目的]探讨急性有机磷农药中毒患者心肌酶学及心电图改变的临床意义及预后的关系。[方法]对2006年1月～2009年12月85例急性有机磷农药中毒患者入院后作心肌酶动态观察并结合临床资料进行分析。[结果]85例急性有机磷农药中毒病人的血清心肌酶均有不同程度的升高,心电图发生明显改变,死亡16例。[结论]病情越重,心肌酶升高幅度越明显,预后越差,应早期应用保护心脏药物,降低死亡率,提高治愈率。
[Objective] To investigate the relationship between the clinical significance and prognosis of myocardial enzyme and electrocardiogram in patients with acute organophosphorus pesticide poisoning. [Method] From January 2006 to December 2009, 85 patients with acute organophosphorus pesticide poisoning were admitted to hospital for dynamic observation of myocardial enzymes and clinical data were analyzed. [Results] The serum levels of myocardial enzymes in 85 patients with acute organophosphorus pesticide poisoning increased to some extent, the electrocardiogram changed obviously, and 16 patients died. [Conclusion] The heavier the disease, the more obvious increase of myocardial enzyme, the poorer the prognosis, should be used in early protection of cardiac drugs, reduce mortality and improve the cure rate.