急性心肌梗死血清心肌酶谱50例分析

目的 :探讨急性心肌梗死 (AMI)患者心肌酶谱的变化 ,以指导 AMI的判断、治疗和预后 ,方法 :采用东芝TBA- 4 0 FA全自动生化分析仪 ,对 AMI患者心肌酶进行测定 ,结果 :1谷草转胺酶 (AST)、磷酸肌酸激酶 (CK)、肌酸激酶 (CK- MB)、α-羟丁酸 (α- HBD)、乳酸脱氢酶 (L DH) ,这些酶指标在 AMI发生后均有不同程度升高。2 CK- MB/ CK大于5 %的阳性率为 78%显著高于非心脏病组的 2 5 % ,对 AMI的诊断很有价值。结论 :CK- MB/ CK大于 5 %可以作为AMI的诊断指标这一

Analysis on Changes of Myocardial Enzymi Spectrim of 50 Patients with AMI

Objective To discuss the changes of myocardial enzyme in serum with acute myocardial infarction (AMI) patients so as to direct the confirmation, therapy, and prognosis of AMI. Methods The myocardial enzymes of AMI patients were detected by the automatic biochemistric analyzer of TOSHIBA TBA 40FR. Results (1) the value of these enzymes such as aspartate aminotranferase (AST), creatine kinase (CK), creatine kinase MB isoenzyme (CK MB), alpha hydroxybutyric acid (α HBD), lactate dehydrogenase (LDH), was increased in different degree; (2) The positive rate of CK MB/CK superior to 5% was 78%, which was obviously higher than the rate 75% of non heart disease group and it took important value for AMI diagnosis. Conclusion CK MB/CK superior to 5% may been taken as one of standards for AMI diagnosis.