急性心肌梗死患者高敏心肌肌钙蛋白的变化及意义 |
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引用本文: | 张 勇 邵 靓 官功昌等. 急性心肌梗死患者高敏心肌肌钙蛋白的变化及意义[J]. 陕西医学杂志, 2014, 0(5): 616-617 |
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作者姓名: | 张 勇 邵 靓 官功昌等 |
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作者单位: | [1]陕西省人民医院心脏内一科,西安710068 [2]西安交通大学医学院第一附属医院心内科,西安710068 |
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基金项目: | 国家自然科学基金青年科学基金项目(No81300115);陕西省自然科学基金(No2013JM4041) |
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摘 要: | 目的:探讨心肌梗死(AMI)不同时间点高敏心肌肌钙蛋白的变化规律及其临床意义。方法:选择急诊AMI患者164例和正常对照组90例,在AMI患者入院0h,6h,24h,48h及5d分别取血检测血清hs-cTnT、hs-CRP,CK-MB的浓度。结果:AMI血清hs-cTnT、hs-CRP,CK-MB浓度均显著升高,hs-cTnT升高的更早,持续的时间更长。结论:hs-cTnT在诊断AMI时,比hsCRP,CK-MB有更好的敏感性和特异性,有利于AMI的早期诊断和治疗。
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关 键 词: | 心肌梗塞/血液 肌钙蛋白/代谢 C-反应蛋白质/代谢 肌酸激酶/代谢 |
Acute myocardial infarction in high-sensitivity cardiac troponin changes and clinical significance |
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Affiliation: | Zhang Yong, Shao Liang, Guan Gongchang, et al( Department of Heart Medicine,The People's Hospital of Shaanxi Province(Xi'an 710068)) |
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Abstract: | Objective:To study the hs-cTnT changes with time and its clinical significance in AMI . Methods :Collected 164 cases of AMI patients and 90 cases of normal control group ,determined the serum hs-cT-nT ,hs-CRP and CK-MB concentration with AMI patients at 0 h ,6 h ,24 h ,48 h and 5 d .Results :The serum hs-cTnT ,hs-CRP and CK-MB concentration were significantly rised in AMI ,hs-cTnT rised earlier and last longer . Conclusion :In the AMI diagnosis ,hs-cTnT has a better sensitivity and specificity than hs-CRP and CK-MB . |
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Keywords: | Myocardial infarction/blood Troponin/metabolism C-Reactive protein/metabolism Cre-atine kinase/metabolism |
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