【摘要】 目的研究酒精中毒所致精神障碍戒酒猝死的相关因素及心电图变化。方法搜集了1978年至2004年26年间住院治疗65例酒精中毒所致精神障碍戒酒猝死病例资料进行回顾性分析并和条件基本相同的65例住院病例作对照。结果研究组猝死发生前1-2周心电图改变,异常者40例(61．54％),对照组 28例(43．08％),两组差异有显著意义(X2=4．44,P<0．05),其中ST-T改变者30例,窦性心动过速28例,窦性心动过缓12例,频发房性早搏(含阵发性房性心动过速)10例,频发室性早搏5例,房室传导阻滞2例,心房纤颠3例。同时发现,猝死与年龄、饮酒量和饮酒年限、精神药物品种、剂量无明显相关,但与入院时间和昼夜时间有关。结论酒精中毒所致精神障碍戒酒猝死与猝死前心电图改变及入院时间和昼夜时间有关,对其观察和及时处理是预防猝死的措施之一。更多还原

【Abstract】 Objective To research the related factors and electrocardiogram varieties of the abrupt death of the spirit obstacle in alcoholic poisoning. Methods 65 cases of alcoholic poisoning patients were retrospectively analysed and compared with the control from 1978 to 2004. Results The abrupt death occurrence electrocardiogram change the first 1 - 2 week, excrescent 40 example( have 61. 54 % . 28 two differences have the ( X2 = 4. 44, P < 0.05) of show,among them the ST-T change 30,the moves soon 28,the moves slow 12,the hair building fight(con-tained a hair building to move soon) 10 early,the hair room fights 5 early,the building room conducts 2 of the,the 3 of the atrium. Also it showed diffenerence the with the control abrupt death and ages, alcohol quantity and alcohol time limit,spirit medicine species,a quantity had no obvious dif ference. had something to do with hospitalize time and day and night time. Conclusion Poisoned of wine with the result that the spirit obstacle abstains from alcohol the abrupt death front and electrocardiograms change and hospitalizes time and day and night time is relevant, as to observe and handle in time is one of the measure that prevents froms the abrupt death.更多还原