PMID- 29699021 OWN - NLM STAT- MEDLINE DCOM- 20181015 LR - 20181023 IS - 1001-9391 (Print) IS - 1001-9391 (Linking) VI - 36 IP - 2 DP - 2018 Feb 20 TI - [Effect of ulinastatin on myocardial injury in patients with acute severe carbon monoxide poisoning]. PG - 154-156 LID - 10.3760/cma.j.issn.1001-9391.2018.02.020 [doi] AB - Objective: To observe the effect of ulinastatin on myocardial injury in patients with acute severe carbon monoxide poisoning (ASCOP) . Methods: By using the prospective study method, 123 cases of ASCOP patients admitted to our hospital, were randomly divided into two groups. There were no significantly different between the two groups in the abnormal rates of ECG, brain natriuretic peptide (BNP) , troponin I (cTNI) , creatine phosphokinase (CK-MB) and creatine phosphokinase (CK) . The control group according to the patients need to be treated with hyperbaric oxygen and routine medical treatment; the observation group was treated with ulinastatin 100 thousand u intravenous injection based on routine treatment measures on Q8 h, the two groups were 7 d for the 1 course of treatment. Compared two groups of patients after 3 days, 7 days of electrocardiogram, brain natriuretic peptide (BNP) , troponin I (cTNI) , creatine kinase isoenzyme (CK-MB) , creatine kinase (CK) , the case fatality rate within 14 days, and the abnormality rate of BNP, cTNI, CK-MB and Ck. Results: the observation group for 3 days, 7 days, 14 days were abnormal, brain natriuretic peptide (BNP) , cardiac troponin I (cTNI) , creatine kinase isoenzyme (CK-MB) , creatine kinase (CK) the average results were significantly lower than those in the control group (P<0.05) ; The 14 d BNP in the observation group was significantly lower than the control group (P<0. 05) ; the case fatality rateof observation group was lower than the control group within 14 days (1.2% vs 3.3%) . Conclusion: Ulinastatin can significantly improve the ASCOP to reduce the damage to the heart, reduce the case fatality rateand improve the prognosis. FAU - Wang, P AU - Wang P AD - Emergency Department of Harrison International Peace Hospital Affiliated to Hebei Medical University, Hengshui 053000, China. FAU - Li, W AU - Li W FAU - Yang, J L AU - Yang JL FAU - Wang, Y AU - Wang Y FAU - Liu, Q AU - Liu Q FAU - Wang, W Z AU - Wang WZ FAU - Qi, H N AU - Qi HN FAU - Li, J AU - Li J LA - chi PT - Journal Article PT - Randomized Controlled Trial PL - China TA - Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi JT - Zhonghua lao dong wei sheng zhi ye bing za zhi = Zhonghua laodong weisheng zhiyebing zazhi = Chinese journal of industrial hygiene and occupational diseases JID - 8410840 RN - 0 (Biomarkers) RN - 0 (Glycoproteins) RN - 0 (Troponin I) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - EC 2.7.3.2 (Creatine Kinase) RN - EC 2.7.3.2 (Creatine Kinase, MB Form) RN - OR3S9IF86U (urinastatin) SB - IM MH - Acute Disease MH - Biomarkers MH - Carbon Monoxide Poisoning/*complications MH - Creatine Kinase/blood MH - Creatine Kinase, MB Form/blood MH - Electrocardiography MH - Glycoproteins/*pharmacology/therapeutic use MH - Heart Injuries/*drug therapy MH - Humans MH - Natriuretic Peptide, Brain/blood MH - Prospective Studies MH - Treatment Outcome MH - Troponin I/blood OTO - NOTNLM OT - Ulinastatin OT - acute carbon monoxide poisoning OT - myocardial damage OT - prognosis EDAT- 2018/04/28 06:00 MHDA- 2018/10/16 06:00 CRDT- 2018/04/27 06:00 PHST- 2018/04/27 06:00 [entrez] PHST- 2018/04/28 06:00 [pubmed] PHST- 2018/10/16 06:00 [medline] AID - 10.3760/cma.j.issn.1001-9391.2018.02.020 [doi] PST - ppublish SO - Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2018 Feb 20;36(2):154-156. doi: 10.3760/cma.j.issn.1001-9391.2018.02.020.