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新生儿窒息血清心肌酶谱检测及临床意义
引用本文:舒蕾,杨娅华,杨沧,苗丽琼.新生儿窒息血清心肌酶谱检测及临床意义[J].昆明医学院学报,2005,26(1):85-87.
作者姓名:舒蕾  杨娅华  杨沧  苗丽琼
作者单位:云南省玉溪市人民医院新生儿科,玉溪,653100
摘    要:目的 :探讨血清心肌酶谱活性检测在新生儿窒息时的临床应用价值 .方法 :对 192例窒息新生儿和 34例正常新生儿分别测定血清中谷草转氨酶 (AST) ,乳酸脱氢酶 (LDH) ,肌酸磷酸激酶 (CK)及肌酸磷酸激酶同工酶 (CK -MB)并进行资料分析 .结果 :窒息新生儿心肌酶异常 ,其程度与窒息轻重成正比 ,差异显著 (P <0. 0 1) .结论 :血清中CK -MB作为判断新生儿缺氧缺血性心肌损害的生化指标特异性较强 .

关 键 词:血清心肌酶谱  新生儿窒息  CK-MB  窒息新生儿  临床意义  肌酸磷酸激酶同工酶  正常新生儿  结论  乳酸脱氢酶(LDH)  目的
文章编号:1003-4706(2005)01-0085-03
修稿时间:2004年9月10日

Clinical Significance of Detection of Myocardial Zymogram in Serum During the Asphyxia of Neonate
SHU Lei,YANG Ya-hua,YANG Cang,MIAO Li-qiong.Clinical Significance of Detection of Myocardial Zymogram in Serum During the Asphyxia of Neonate[J].Journal of Kunming Medical College,2005,26(1):85-87.
Authors:SHU Lei  YANG Ya-hua  YANG Cang  MIAO Li-qiong
Abstract:Objective: To discuss the clinical values of detection of myocardial zymogram in serum during the asphyxia of neonate.Methods: The AST, LDH, CK and CK-MB of 192 suffocated neonates and 34 normal neonates were measured, and the measure data were analyzed.Results: The myocardial zymogram in serum of suffocated neonates was abnormal, especially CK-MB.And the abnormality increased as the degree of suffocation increased, compared with the normal group (P<0.01).Conclusion: K-MB in serum can be an index for the specific evaluation of anoxia and ischemia damage to myocardium.
Keywords:Neonate  Suffocation  Myocardial zymogram
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