摘要
目的 了解重度烧伤病人的心肌损伤情况 ,探讨心肌损伤的防治方法。方法 随机对 3 0例重度烧伤病人进行心肌酶谱 (CK ,CK MB)的检测。结果 重度烧伤病人的心肌酶谱有明显升高 ,EKG示心肌缺血表现。治愈病人的心肌酶谱以烧伤后 1周内为最高 ,且烧伤后一直保持高水平 ,随着时间推移 ,创面愈合 ,心肌酶谱降至正常 ;在烧伤后 1周内死亡的病人 ,死亡前的心肌酶谱值在原来的基础上再次升高一倍左右。结论 重度烧伤病人血清心肌酶谱的变化说明心肌有持续损害 ,并提示有脏器衰竭的可能 。
Objective To understand the myocardial injury in the major burn patients and explore the prevention and cure of it.Method The serum CK and CK MB were studied in 30 major burn patients.Results Major burn patients had marked increase in serum CK and CK MB reached the peak in 1 week in recovered patients.The levels remained high until the wounds were healed.Some major burn patients died in a week and their already elevated CK MB doubled before their death.Conclusion The changes in serum CK and CK MB implied that there were continuous myocardial injuries in major burn patients.Continuous monitoring and timely treatment were required to prevent cardiac organ failure in major burn patients.
出处
《河北医药》
CAS
2001年第7期505-506,共2页
Hebei Medical Journal
