myocardial damage on acute organophosphorus pesticide poisoning patients（急性有机磷农药中毒患者心肌损害）.docVIP

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myocardial damage on acute organophosphorus pesticide poisoning patients（急性有机磷农药中毒患者心肌损害）.doc

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myocardial damage on acute organophosphorus pesticide poisoning patients（急性有机磷农药中毒患者心肌损害）

Myocardial damage on acute organophosphorus pesticide poisoning patients Author: ZHAO Lian City Menggui Ping Zhen Yan [Keywords] organic phosphorus Keywords:] pesticide poisoning, organophosphate, myocardial damage Acute organophosphorus pesticide poisoning (AOPP is a common clinical Intensive cause myocardial damage is an important factor to affect the the condition judgment and efficacy were treated in our hospital from July 2000 to July 2004, 146 cases of patients with severe AOPP , which occurred myocardial damage in 69 cases, accounting for 47.3%, are as follows. 1 Clinical data 1.1 General Information AOPP 146 patients, 54 male and female 92 cases are oral poisoning, poisoning, 42 cases of parathion (1605), demeton (1059 poisoning 13 cases, omethoate poisoning in 47 cases, 22 cases dichlorvos poisoning dimethoate poisoning in 18 cases, other organophosphorus pesticide poisoning cases all emergency outpatient or other hospital patients have to undergo thorough gastric lavage, atropine and pralidoxime chloride admitted to the hospital. lt;lt; occupational acute organophosphorus pesticide poisoning diagnosis and principles gt;gt; [1] classification, 146 patients were acute severe poisoning, whole blood cholinesterase activity lt;30%. 1.2 myocardial damage diagnosis is based on Cardiac enzymes increased, specific standards for the CKgt; 200 U / L, CK-MBgt; 25 U / L, LDHgt; 400 U / L, LDH1/LDH2gt; 1, @-HDBHgt; 190 U / L, ASTgt; 40 U / L. single CKgt; 200 U / L as a diagnosis. 2 Results 2.1 of cardiac changes ① CK-MB increased the fastest, more than poisoning the day reached a peak value, CK reached its peak within 1 ~ 2 d, 4 days significantly reduced both in the poisoning, after gradually dropped to normal levels. ② LDH and @ - HBDH parallel changes, the rapid increase in the poisoning, the second day, reached the peak, and then decreased down to a normal level, generally after 7 d. ③ AST more than two days, reached the pea