期刊文献+

心肌梗死三项联检在急性ST段抬高型心肌梗死诊断中的应用分析 被引量:1

Clinical significance of cardiac troponin I combined with MB isoenzyme of creatine kinase and myoglobin inthe diagnosis of acute ST-segment elevation myocardial infarction
原文传递
导出
摘要 目的目的探讨心肌肌钙蛋白I(c Tn I)、肌酸激酶同工酶(CK-MB)和肌红蛋白(Myo)心肌梗死三项联检在急性ST段抬高型心肌梗死急诊诊断中的应用价值。方法选取132例急诊科就诊并确诊的STEMI患者作为观察组,随机选取同期因胸痛就诊的非急性心肌梗死患者100名作为对照组,分别进行心肌梗死三项联检,并进行统计学分析及评价。结果 STEMI组患者c Tn I、CKMB、Myo阳性率均明显高于对照组,差异有统计学意义(P<0.05)。结论 Myo在STEMI急诊诊断中阳性率较高,c Tn I、CKMB、Myo心肌梗死三项联检有助于STEMI早期的快速诊断及鉴别诊断,具有重要的临床意义。 Objective To investigate the clinical significance of cardiac troponin I(cTnI)combined with MB isoenzyme of creatine kinase(CK-MB) and myoglobin(Myo) in the diagnosis of acute ST-segment elevation myocardial infarction(STEMI).Methods Select 132 cases of patients who were diagnosed STEMI In the emergency department as the observation group.Randomly selected 100 cases of patients with chest pain who were not acute myocardial infarction as control group.Then cTnI,CK-MB and Myo were detected.All data were analyzed statistically.Results The cTnI,CK-MB and Myo levels in STEMI patients were all significantly higher than those in control group(P〈0.05).Conclusion Myoglobin has higher positive rate in STEMI emergency diagnosis.Cardiac troponin I combined with MB isoenzyme of creatine kinase and myoglobin is helpful for the diagnosis of acute ST-segment elevation myocardial infarction.
作者 路宗全
出处 《首都食品与医药》 2016年第16期46-47,共2页 Capital Food Medicine
关键词 肌钙蛋白I 肌红蛋白 肌酸激酶 MB型 ST段抬高性心肌梗死 Troponin I Myoglobin creatine kinase MB form STEMI
  • 相关文献

参考文献4

二级参考文献45

  • 1陈韵岱,宋现涛,吕树铮,朱华刚,潘伟琦,宁尚秋,康铁朵.12小时内就诊的急性心肌梗死患者治疗现状分析[J].中国介入心脏病学杂志,2005,13(1):5-8. 被引量:67
  • 2杨艳敏,朱俊,谭慧琼,梁岩,章晏,李建东,刘力生,CREATE中国课题组.中国ST段抬高的急性心肌梗死临床特征及治疗现状[J].中华医学杂志,2005,85(31):2176-2182. 被引量:85
  • 3[15]Marumoto K, Hamada M, Hiwada K. Increased secretion of atrial and brain natriuretic peptides during acute myocardial ischemia induced by dynamic exercise in patients with angina pectoris. Clin Sci (Lond),1995, 88:551-556. 被引量:1
  • 4[16]Jerberg T, Lindahl B, Siegbahn A, et al. N-terminal pro brain natriuretic peptide in relation to inflammation,myocardial necrosis and the effects of an invasive strategy in unstable coronary artery disease. J Am Coll Cardial, 2003, 42:1909-1916. 被引量:1
  • 5[17]Sato Y, Yamada T, Taniguchi R, et al. Persistently increased serum concentrations of cardiac troponin t in patients with idiopathic dilated cardiomyopathy are predictive of adverse outcomes. Circulation,2001,103:369-374. 被引量:1
  • 6[18]Horwich TB, Patel J, MacLellan RW, et al. Cardiac troponin Ⅰ is associated with impaired hemodynamics,progressive left ventricular dysfunction, and increased mortality in advanced heart failure. Circulation,2003,108: 833-838. 被引量:1
  • 7[19]Venge P, Lagerqvist B, Diderholm E, et al. Clinical performance of three cardiac troponin assays in patients with unstable coronary artery disease (a FRISC Ⅱsubstudy). Am J Cardial, 2002,89:1035-1041. 被引量:1
  • 8[1]Panteghini M. Acute coronary syndrome. Biochemical strategies in the troponin era. Chest, 2002,122:1428-1435. 被引量:1
  • 9[2]Alpert JS, Thygesen K, Antman E,et al. Myocardial infarction redefined consensus document of the Joint European Society of Cardiology/Am college of cardiology committee for the redefinition of myocardial infarction. J Am Coll Cardiol, 2002,36: 959-969. 被引量:1
  • 10[3]Nomenclature and Criteria for Diagnosis of Ischemic Heart Disease. Report of the Joint International Society and Federation of Cardiology/World Health Organization Task Force on Standardization of Clinical Nomenclature. Circulation, 1979,59: 607-608. 被引量:1

共引文献120

同被引文献7

引证文献1

二级引证文献3

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部