报告５例重症一氧化碳（ＣＯ）中毒合并血清４种酶测定值升高。作者通过临床资料分析，认为血清酶升高与骨骼肌损害有关；因为血清酶测定方便快捷，重症ＣＯ中毒患者血清酶升高的发生率较高，故提出血清酶升高可作为诊断重症ＣＯ中毒的参考依据 Reported in 5 cases of severe carbon monoxide (CO) poisoning combined serum 4 enzymes measured value increased. The author through the clinical data analysis, that elevated serum enzymes and skeletal muscle damage; because of rapid and convenient serum enzyme, severe CO poisoning patients with elevated serum enzymes, it is proposed that elevated serum enzymes can be used as a diagnosis of severe CO poisoning The reference basis