ICU患者血浆肌钙蛋白Ⅰ检测的临床意义

目的 探讨ICU重症患者血浆肌钙蛋白Ⅰ(cTnⅠ)的变化及其临床意义.方法 将100例ICU重症患者,根据APACHEⅡ评分系统分为A组＜15分20例,B组15～25分52例,C组＞25分28例,按病情分为MODS组38例,非MODS组62例.正常对照组为体检健康者50例.采集每组患者血标本,采用酶联免疫吸附法(ELI...

The detection of the clinical significance of plasma troponin I in ICU patients

Objective To explore the clinical significance of troponin I（cTnI） of critically ill patients in ICU.Methods According to APACHEⅡ score system,100 critically ill patients were divided into the following groups： A group,15 points of 20 cases;B group,15 to 25 points of 52 cases;C group25 points of 28 cases;all cases were divided into MODS group（42 cases） and non-MODS group（58 cases）.Fifty normal healthy subjects were control group.Results The results showed that critically ill patients with cTnI concentrations were higher than healthy people group（P0.01）,cTnI concentrations were significantly different（P0.05） among different groups with APACHEⅡscores;cTnI of MODS group were significantly higher than non-MODS groups＇（P0.01）.Conclusion Critical patients with cTnI have good correlation with APACHEⅡ score,and the more serious,the higher concentrations of the cTnI.Therefore,cTnI can be used to evaluate the severity of critically ill patients,also predict prognosis of clinically ill patients.