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目的分析急性砷化氢中毒合并中毒性心肌炎临床特点。方法收集急性砷化氢中毒合并中毒性心肌炎患者25例,经多次心电图和心肌酶学检查,取最明显异常的一次检查结果进行分析。结果急性砷化氢中毒合并中毒性心肌炎的发生率为48.08%;心肌酶学检查异常率为84.2%;心电图检查可呈现多种表现,以窦性心动过速最为多见,占65%。结论急性砷化氢中毒之后易并发中毒性心肌炎,心肌酶学检查异常发生率高,其次为心动过速,ST-T改变,I°AVB。心肌酶谱,心电图应作为急性砷化氢中毒患者的常规检查项目。
Objective To analyze the clinical characteristics of acute poisoning of arsenic poisoning with poisoning myocarditis. Methods Twenty-five patients with acute poisoning of arsenic poisoning and toxic myocarditis were collected and analyzed by multiple electrocardiogram (ECG) and myocardial enzymology examination and the most obvious abnormal result. Results The incidence of acute poisoning of arsine poisoned myocarditis was 48.08%. The abnormal rate of myocardial enzymology examination was 84.2%. The electrocardiogram showed a variety of manifestations. The most common symptom was sinus tachycardia, accounting for 65%. Conclusions Acute poisoning of arsine is easily accompanied by toxic myocarditis. The incidence of myocardial enzyme abnormality is high, followed by tachycardia, ST-T change and I ° AVB. Myocardial enzymes, ECG should be used as routine arsine poisoning patients check items.