| 心肌肌钙蛋白Ⅰ在心肌梗塞中的检测意义 |
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| 引用本文： | 刘智勇,杨雨嫣. 心肌肌钙蛋白Ⅰ在心肌梗塞中的检测意义[J]. 大理医学院学报, 2002, 11(2): 32-34 |
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| 作者姓名： | 刘智勇 杨雨嫣 |
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| 作者单位： | 大理学院攀枝花教学医院，四川攀枝花617067 |
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| 摘 要： | 目的：探讨心肌肌钙蛋白Ⅰ(cTnⅠ)在急性心肌梗塞(AMI)时的检测意义；方法：通过比较102例冠心病患和30例对照的cTnⅠ和心肌酶谱的测定结果；结果：AMI患的阳性率分别为：cTnⅠ—87．5％、CK—MB—62．5％、CK—56．3％、AST—46．9％、LDH—40．6％；结论：AMI患胸痛后10h血清cTnⅠ的敏感性最高，血清cTnⅠ对AMI诊断的特异性明显高于心肌酶谱(CK、CK—MB、AST和LDH)，对诊断AMI有重大临床价值。
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| 关 键 词： | 心肌肌钙蛋白Ⅰ 心肌梗塞 检测 心肌酶谱 肌酸激酶同工酶 诊断 冠心病 |
| 文章编号： | 1004-4442(2002)02-0032-03 |
| 修稿时间： | 2001-11-05 |
Significance of Cardiac Troponin Iin Acute Myocardial lnfarction |
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| LIU Zhi-yong,YANG Yu-yan. Significance of Cardiac Troponin Iin Acute Myocardial lnfarction[J]. Journal of Dali Medical College, 2002, 11(2): 32-34 |
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| Authors: | LIU Zhi-yong YANG Yu-yan |
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| Abstract: | objective:To study the significance of cardiac troponin l(cTnl)in acute myocardial infarction (AMI).Methods:To compare with the results of cTnl and enzymes of 102 cases of coronary heart disease and 30 controls.Results:The positive rates of cTnl,CK-MB,CK,AST and LDH in AMI patients were 87.5%,62.5%,56.3%,46.9%and 40.6%respectively.Conclusions:The highest sensitivity of serum cTnl was within 10 hours after the onset of chest pain in AMI patients.The specificity of serum cTnl was distinct higher than that of CK-MB,CK,AST and LDH.The serum cTnl is valuable for diagnnosis of AMI. |
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| Keywords: | Acute myocardial infarction Cardiac troponin I Myocardial enzymes |
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