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对入我院的急性2,4-二硝基苯酚中毒17例患者的临床资料进行回顾性分析。急性2,4-二硝基苯酚中毒的患者除一般急性中毒临床表现外,心律失常发生率高。其中5例患者出现窦性心动过速(29.4%),14例患者出现窦性心动过缓(82.4%),1例患者出现短阵室性心动过速(5.9%),3例患者出现室性早搏(17.6%)。经积极治疗后,患者心律失常消失,未遗留心电异常。提示2,4-二硝基苯酚急性中毒的患者入院后应常规行心电图、动态心电图、心电监护等有关心电变化的检查监测。治疗上除了行血液灌流清除毒物、护肝保肾外,需根据患者出现的心律失常进行积极处理。
The clinical data of 17 patients with acute 2,4-dinitrophenol into our hospital were analyzed retrospectively. In addition to the general clinical manifestations of acute poisoning, patients with acute 2,4-dinitrophenol poisoning have a high incidence of arrhythmias. Among them, sinus bradycardia (29.4%) occurred in 5 patients, sinus bradycardia (82.4%) in 14 patients, paroxysmal ventricular tachycardia (5.9%) in 1 patient, and ventricular tachycardia in 3 patients Premature beats (17.6%). After active treatment, patients disappeared arrhythmia, ECG left anomalies. Prompt 2,4-dinitrophenol acute poisoning after admission should be routine ECG, ECG, ECG monitoring and other changes in the ECG monitoring. In addition to the treatment of hemoperfusion perfusion to remove toxic, liver and kidney, the patient should be based on arrhythmia positive treatment.