心肺复苏患者心肌损伤的临床研究

目的 探讨血清心肌肌钙蛋白T对复苏患者心肌损伤的临床价值。方法 对69例心跳、呼吸骤停的患者进行标准心肺复苏，观察心室颤动前和复苏后患者心肌肌钙蛋白T水平的变化。结果 复苏患者在恢复自主循环1h后，血清心肌肌钙蛋白T就明显升高，且升高水平与患者的病死率相对应。结论 复苏患者存在急性心肌损伤；心肌肌钙蛋白T浓度能客观地反映心肌受损状态。

Clinical study of myocardial injury in cardiopulmonary resuscitated patients

Objective To explore the clinical significance of cardiac troponin T(cTnT) in serum for myocardial injury of resuscitated patients.Methods 69 patients with cardiac and respiratory sudden arrest were treated with standard cardiopulmonary resuscitation to observe the changes of cTNT level at pre and post resuscitations. Results As autonomous circulation was restored an hour later,cTnT rised obviously and was interrelated with morality positively.Conclusion Resuscitated patients suffer from acute myocardial injury.cTnT density can objectively reflect the condition of myocardial injury.