目的探讨毒蜂蛰伤患者心电图的异常改变,为救治患者提供参考。方法回顾性研究12导联心电图仪监测的63例毒蜂蛰伤患者心电图的变化,并与87例健康体检组对照分析。结果 63例毒蜂蛰伤患者中51例发生心电图异常改变,异常改变的主要类型为:ST-T的改变、Q-T间期延长及心律失常等。发生率为80.95%;对照组2例心电图异常,临床诊断为冠心病,发生率为2.29%。二者差异有统计学意义(P<0.01)。结论毒蜂蛰伤患者心电图异常改变发生率较高,临床抢救患者可将其作为病情的判断、治疗及预后的一项重要参考指标。 Objective To investigate the abnormal changes of electrocardiogram (ECG) in patients with poison bee sting and provide reference for the treatment of patients. Methods The ECG changes of 63 poisonous bee sting patients monitored by 12-lead electrocardiograph were retrospectively analyzed and compared with those of 87 healthy subjects. Results The abnormal electrocardiogram changes occurred in 51 of 63 bee stings patients. The main types of abnormal changes were ST-T changes, Q-T prolongation and arrhythmia. The incidence was 80.95%; control group 2 cases of abnormal ECG, clinical diagnosis of coronary heart disease, the incidence was 2.29%. The difference was statistically significant (P <0.01). Conclusion The incidence of abnormal electrocardiogram changes in poisonous bee sting patients is high. Clinical rescue patients can use it as an important reference for judgment, treatment and prognosis of the disease.