摘要
目的观察急诊非急性心肌梗死危重病人早期床旁快速检测肌钙蛋白T(cTnT)升高与预后的关系。方法连续选取急诊非急性心肌梗死危重留观患者96例,按APACHEII评分分为危重组48例(APACHEII≥16)和普通组48例(9≤APACHEII<16),入选39例留观患者作为对照组,分别检测发病24 h内及48 h cTnT水平。结果危重组24 h内和48 h,cTnT升高均高于普通组和对照组。24 h内,cTnT升高的危重患者,死亡率显著增高。结论 cTnT可以用于判断非急性心肌梗死危重患者的预后。
Objective To observe and evaluate the relation between the growth of the troponin T（cTnT） applied into the early quick bedside test and the prognosis of the critical patients with non-acute myocardial infarction（AMI） in emergency department.Methods 96 critical patients were devided into 2 groupes.One group containing 48 patients was ordinary group（APACHEII≥16）;the other containing 48 patients was critical group（9≤APACHEII16）.Still other 39 patients wer chosen as the control group.The level of cTnT in each patient was measured within 24 h and 48 h.Results The cTnT levels of critical group within 24 h and 48 h are higher than the ordinary group and the control group.The death rate of those whose cTnT level was high in the critical group rose greatly.Conclusions The cTnT can be applied to the diagnosis of the prognosis of the critical patients with non-acute myocardial infarction（AMI） in emergency department.
出处
《辽宁医学院学报》
CAS
2010年第6期493-494,497,共3页
Journal of Liaoning Medical University (LNMU) Bimonthly
