观察65例急性心肌梗塞患者的心肌酶谱与心室晚电位（VLP）的关系，结果VLP阳性15例，阳性率231％，，心梗2个壁以上患者占阳性者60％（共9例）；心肌酶谱的CPK、GOT、LDH和HBD与VLP阳性组比较，P值均＞0．05，在统计学上无显著性差异；VLP阳性组中CPK峰值与VLP三项指标中的QRST和D40呈正相关（r值分别为0．58和0．65），而酶谱的其余三个酶的峰值与VLP三项指标相关性较差，提示CPK峰值对急性心肌梗塞的预后有一定价值。 The relationship between myocardial enzymes and ventricular late potentials (VLP) in 65 patients with acute myocardial infarction was observed. The results showed that VLP was positive in 15 cases and the positive rate was 231%. The positive rate of myocardial infarction was 60% (9 cases) ; The CPK, GOT, LDH and HBD in myocardial enzymes were significantly higher than those in VLP positive group (P> 0.05), but there was no significant difference in CPK, VLP positive group and QRST D40 was positively correlated (r = 0.58 and 0.65, respectively), while the peaks of the other three enzymes in the zymogram were negatively correlated with the three indicators of VLP, suggesting that the CPK peak has some value in the prognosis of acute myocardial infarction.