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肌钙蛋自I定量检测在急性非Q波心肌梗死的诊断价值
引用本文:李伯佳,韦建瑞,蒋作峰,崔进,赵进,李国标.肌钙蛋自I定量检测在急性非Q波心肌梗死的诊断价值[J].广东药学院学报,2003(2).
作者姓名:李伯佳  韦建瑞  蒋作峰  崔进  赵进  李国标
作者单位:广东药学院内科学教研室,广州市红十字会医院心内科,广州市红十字会医院心内科,广州市红十字会医院心内科,广州市红十字会医院心内科,广东药学院内科学教研室 广东 广州 510224,广东 广州 510240,广东 广州 510240,广东 广州 510240,广东 广州 510240,广东 广州 510224
摘    要:目的:观察肌钙蛋白I(cTnl)在急性非Q波心肌梗死(NQMI)的诊断价值。方法:用微粒子免疫化学发光法定量检测23例NQMI患者血清cTnl浓度,将其阳性率与血清肌酸激酶同工酶(CK-MB)作比较。结果:cTnl升高共23例,阳性率100%,峰值平均值为诊断急性心肌梗死界定值的20倍。CK-MB升高16例,阳性率为69.6%,峰值平均值为正常值上限的5.6倍。结论;肌钙蛋白I在NQMI的诊断敏感性显著高于CK-MB。

关 键 词:肌钙蛋白  心肌梗死  急性冠状动脉综合征

The diagnostic values of quantitative detection of cardiac tropomn I in acute non Q-wave myocardial infarction
LI Bo-jia,WEI Jian-rui,JIANG Zuo-feng,GUI Jin,ZHAO Jin,LI Guo-biao.The diagnostic values of quantitative detection of cardiac tropomn I in acute non Q-wave myocardial infarction[J].Academic Journal of Guangdong College of Pharmacy,2003(2).
Authors:LI Bo-jia  WEI Jian-rui  JIANG Zuo-feng  GUI Jin  ZHAO Jin  LI Guo-biao
Abstract:Objective: To investigate diagnostic values of cardiac troponin I ( cTnI) in acute non Q-wave myocardial infarction (NQAMI). Methods: Corpuscule immunochemistry photogenic method was applied to quantitatively detect serum cTnI concentration of 23 cases of NQAMI. The positive rate and serum CK-MB were compared. Results: cTnI level increased in 23 patients. The positive rate was 100% . The peak average value was 20 times of the definition for diagnosing acute myocardial infarction. CK-MB level increased in 16 patients. The positive rate was 69. 9% . The peak average value was 5. 6 times of the upper normal limit. Conclusions: The diagnostic sensitivity of troponin I in NQAMI is obviously higher than that of CK-MB.
Keywords:troponin  myocardial infarction  Acute Coronary Syndrome( ACS)
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