急性酒精中毒致心电图改变临床分析.docVIP

急性酒精中毒致心电图改变临床分析 刘红燕，刘英华 （银川市第一人民医院心电图室 银川 750001 ） [摘要] 目的 探讨急性酒精中毒患者心电图改变及其临床意义。方法 选择16-52岁之间，因饮酒过量导致不同程度的急性酒精中毒患者130例，入院就诊时急查心电图及血压，并与60例正常对照组作对比分析。结果 所有心电图检查者其中窦性心动过速76例，ST-T改变18例，房颤9例，房颤伴高血钾1例，阵发性室上速4例，阵发性室速2例，左心室肥厚2例，因致命性心律失常抢救无效死亡2例。不同程度的急性酒精中毒患者心电图异常改变远高于正常对照组（P0.01）。结论 急性酒精中毒可以对心脏造成损害，且饮酒量越大，酒精依赖时间越长，心脏损害越严重。 [关键词] 急性 酒精 心电图 临床意义 The analysis of the electrocardiography changes in acute alcohol intoxication Liu Hong Yan, Liu Ying Hua（The First People’s Hospital Of Yinchuan Yinchuan 750001,China） [Abstract] Objective To discuss the electrocardiography(ECG) changes in acute alcohol intoxication and its significance． Methods 130 patients aged 16—52 with different level in drink excessive to examine ECG and blood pressure inhospital and 60 normal control subjects were investigated and analyzed． Results All 130 patients in 76 patients were sinus tachycardia(ST), 18 patients were ST-T unusual, 18 patients were various premature beat, 9 patients were atrial fibrillation(Af), 1 patient in atrial fibrillation and hyperkalemia, 4 patients were supraventricular tachycardia(ST), 2 patients were ventricular tachycardia(VT), 2 patients were left ventricular hypertrophy(LVH), 2 patients death in malignant arrhythmia． Different level in alcohol intoxication there were significantly difference than those in normal cortrol group (p0.05)． Conclusion The acute alcohol intoxication was impaired with heart function, and dinking capacity more larger and depend on time more longer, the heart injuries more remarkable． [Key words] Acute；Alcohol intoxication；Elctrocardiography；Significance 急性酒精中毒俗称醉酒，指饮入过量的酒精或酒精饮料后所引起的中枢神经系统兴奋及随后的抑制状态。它是急诊内科常见的病症。本文通过分析130例急性酒精中毒患者心电图的改变，以探讨其临床意义，为临床的诊治提供参考。 对象与方法 1.1 对象 选择2007年5月—2011年4月期间在我院急诊内科门诊就诊及住院治疗的因急性酒精中毒患者130例。诊断标准：参照文献分期标准诊断：（1）有过量饮酒史，呼气有酒味。（2）出现共济失调或出现神经系统抑制状态，如昏睡或昏迷[1]。中毒分度标准：根据临床中毒程度分为（1）轻度中毒：酒精中毒兴奋期；（2）中度中毒：酒精中毒共济失调期；（3）重度重毒：酒精中毒昏睡昏迷期。其中心电图异常组130例，男121例，女9例，年龄16-52岁，平均（29．45±13．96）岁。并以中毒程度分三度。I：55例，男48例，女7例，年龄1