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目的探讨中暑患者心肌酶变化规律及临床意义。方法根据126例中暑患者的中暑程度分为先兆中暑、轻症中暑和重症中暑三组,并以45例健康体检者作为对照组。分别检测乳酸脱氢酶(LDH)、磷酸肌酸激酶(CK)、肌酸激酶同功酶(CK-MB)以及谷草转氨酶(AST),并动态观察病人心电图的改变。结果中暑病人心肌酶均有不同程度升高,且与病情呈正比关系;心肌酶随病情改善呈恢复趋势。结论中暑可造成心肌的急性损伤,且损伤程度与中暑程度有关,故心肌酶水平对中暑病人可能具有预后估计的作用。
Objective To investigate the changes of myocardial enzymes in patients with stroke and its clinical significance. Methods According to the degree of heat stroke in 126 cases of stroke, the patients were divided into three groups: threatened stroke, mild heat stroke and severe stroke, and 45 healthy subjects were taken as the control group. Lactate dehydrogenase (LDH), creatine phosphokinase (CK), creatine kinase CK (CK) and aspartate aminotransferase (AST) were detected, and electrocardiogram changes were observed dynamically. Results In patients with stroke, the levels of myocardial enzymes increased to some extent and were directly proportional to the severity of the disease. The activity of myocardial enzymes showed a trend of recovery with the improvement of the disease. Conclusion Heat stroke can cause acute myocardial injury, and the degree of injury is related to the degree of heat stroke. Therefore, the level of myocardial enzymes may have a prognostic value in patients with stroke.