【摘要】 目的 研究电击伤后人体血清磷酸肌酶(CK)升高程度与心肌受损程度的相关性，探讨其对临床诊治的意义。方法 对4例在我院诊治的电击伤患者，在电击伤后紧急检查常规心电图(ECG)、血清磷酸肌酶(CK)，进行回顾性分析血清CK与常规ECG中ST T表现的相关性。结果 4例电击伤后，均出现呼吸、心搏停止经抢救复苏后送往医院的患者。急查血清CK高达1722～15484 U/L(正常值38～174 U/L)，比正常值高100～1000倍，同时常规ECG 中ST段与T波正常。结论 电击伤后，如果电击点不是直接对着心脏，心脏停搏是一种中枢性抑制，经抢救在短时间内恢复呼吸、心搏、血液循环，心肌细胞细胞不会受损伤。

    【关键词】电击伤；心电图；ST T改变；血清磷酸肌酶

    Analysis of 4 cases with creatinekinase changes and ECG performance

    HUANG Sai yin, YUAN Lin.

    Hectrocardigram Room,The First Hospital Affilliated to the Midical college of shantou University,Guangdong 515041,China

    【Abstract】 Objective Discuss the relationshipbetween the degree of creatinekinase (CK) in human serum and the damage degree of myocardial after electrical injury. Investigate the significance for clinical diagnosis and treatment. Methods 4 cases of electrical injury patients in our hospital with electrocardiogram (ECG)and serum creatinekinase (CK)were inspected,4 patients wereretrospectively analyzed the relationship between CK and ECG ST T performance. Results In 4 cases after electrical injury with breathing, cardiac and circulatory arrest were rescued and recovered patients, serum CK increased to 1722~15484 U/L (normal 38 U/L~174 U/L), 100 to 1,000 times higher than normal, while in the conventional ECG, ST segment and T wave showed normal results. Conclusion Cardiac arrest is a central inhibition in electrical injury, if the shock point is not directly at the heart. If the patient was rescued in a short period of time and restore breathing, heartbeat and circulation, there will be no damage in myocardial cells. ......