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頁籤選單縮合
題名 | Electrocardiographic Findings of Organophosphate Intoxication in Emergency Department as Predictors of Prognosis: A Retrospective Analysis=有機磷中毒急診病人在心電圖上的特性來評估預後因素: 回顧分析 |
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作者 | 張世偉; 林杰樑; 莊峰榮; | 書刊名 | 長庚醫學 |
卷期 | 18:2 1995.06[民84.06] |
頁次 | 頁120-125 |
分類號 | 418.84 |
關鍵詞 | 有機磷中毒; 心電圖; Organophosphate; Electrocardiogram; |
語文 | 英文(English) |
中文摘要 | 本文主要探討臨床上有機磷中毒急診病人在心電圖上的特性來評估可能預後因素,從1981年至1989年,我們收集170位病人做此研究結果有67位病人心電圖上出現Q-T間隔延長現象,這族群病人在統計學上比非Q-T間隔延長族群有較高死亡率、呼吸衰竭率和心室早期收縮率。另外,有心室早期收縮族群在統計學上比非心室早期收族群有較高死亡率呼吸衰竭率;我們結論認為有機磷中毒病人在臨床上心電圖出現QT延長和心室早期收縮時可預測病人有較高死亡率和呼吸衰竭率,因此完整心電圖和心電圖監視器對此急診病人是必需要。 |
英文摘要 | To investigate the clinical significance of electrocardiographic (ECG) findings in patients with organophosphate intoxication and to find predictors for prognosis, we reviewed 170 patients whose ECG was taken in the emergency department (ED) from 1981 to 1989. There were 67 cases whose ECG showed prolongation of corrected Q-T interval (QTc). In this group, the mortality rate, respiratory failure rate and frequency of ventricular premeature contration (VPC) were significantly higher than those of patients without QTc prolongation. In the group with presence of VPC, the overall mortality rate and respiratory failure rate were also significantly higher when compared with those without VPC. We concluded that QTc prolongation and the presence of VPCs in patients with organophosphate intoxication may predict their clinical respiratory failure and mortality. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。