[沙门氏菌食物中毒后心肌酶谱及心电图的变化]
[Changes in myocardial enzyme spectrum and electrocardiogram after Salmonella food poisoning].
作者信息
Sun Zhong-bo, Zhang Qin, Yang Xia-fang
机构信息
Department of Electrocardiogram, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China.
出版信息
Di Yi Jun Yi Da Xue Xue Bao. 2004 Nov;24(11):1311-2, 1315.
OBJECTIVE
To study the changes in myocardial enzyme spectrum in relation to electrocardiogram (ECG) in Salmonella food poisoning.
METHODS
The myocardial enzyme spectrum and ECG of 56 patients with Salmonella food poisoning were examined, with 34 normal subjects serving as the control group.
RESULTS
In the food poisoning group, the myocardial enzyme activities was increased in 36 cases (64.29%) within 2 days after the poisoning and the ECG of 33 cases (58.93%) showed abnormal changes within 1-4 days. The levels of creatine phosphoskinase (CPK) and alpha-hydroxybutyrate acid dehydrogenase (alpha-HBDH) in poisoning group were obviously higher than those in the control group (P<0.01).
CONCLUSION
Routine examination of myocardial enzyme spectrum and ECG helps define early changes in patients with Salmonella food poisoning for clinical treatment decision.
目的
研究沙门氏菌食物中毒患者心肌酶谱变化及其与心电图（ECG）的关系。
方法
对56例沙门氏菌食物中毒患者进行心肌酶谱和心电图检查，以34名正常受试者作为对照组。
结果
食物中毒组中，36例（64.29%）在中毒后2天内心肌酶活性升高，33例（58.93%）的心电图在1 - 4天内出现异常变化。中毒组肌酸磷酸激酶（CPK）和α-羟丁酸脱氢酶（α-HBDH）水平明显高于对照组（P<0.01）。
结论
心肌酶谱和心电图的常规检查有助于明确沙门氏菌食物中毒患者的早期变化，为临床治疗决策提供依据。
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