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急性心肌梗死患者早期血钾水平的检测及其临床意义
引用本文:王玉秋.急性心肌梗死患者早期血钾水平的检测及其临床意义[J].中国医药指南,2011,9(24):190-191.
作者姓名:王玉秋
作者单位:山东省齐河县人民医院内科,山东齐河,251100
摘    要:目的探讨急性心肌梗死患者早期血钾水平的检测及其临床意义。方法对急性心肌梗死的120例患者行抽血测定血钾、肌酸激酶同工酶、肌钙蛋白I、左心室射血分数,根据血钾水平,将低血钾60例作为观察组,正常血钾60例作为对照组,观察两组严重不良事件的发生情况。结果观察组肌酸激酶同工酶、肌钙蛋白I水平明显高于对照组(P<0.05),左心室射血分数明显低于对照组(P<0.05),观察组严重不良事件的发生率明显高于对照组(P<.05)。结论低钾血症严重影响急性心肌梗死患者的预后,加强临床监测具有重大的临床意义。

关 键 词:急性心肌梗死  血钾  肌酸激酶同工酶  肌钙蛋白I  左心室射血分数

Acute Myocardial Infarction Patient Early Time Blood -Kalium Level Examination and Clinical Significance
WANG Yu-qiu.Acute Myocardial Infarction Patient Early Time Blood -Kalium Level Examination and Clinical Significance[J].Guide of China Medicine,2011,9(24):190-191.
Authors:WANG Yu-qiu
Institution:WANG Yu-qiu(Department of Internal Medicine,Qihe People Hospital,Qihe 251100,China)
Abstract:Objective Discusses Acute-myocardial-infarction the patient early time Blood-Kalium level the examination and the clinical significance.Methods Draws blood to the Acute-myocardial-infarction 120 example patient line determines Blood-Kalium,creatine-kinase-isoenzyme,Troponin I,Left-Ventricular-Ejection-Fraction,according to the blood potassium level,will lower the Blood-Kalium 60 example to do for the observation group,the normal Blood-Kalium 60 example will do for the control group,will observe two group of Severity-Adverse-Event the occurrence situations.Results Observation group creatine-kinase-isoenzyme,the Troponin I level is higher than the control group obviously (P0.05),Left-Ventricular-Ejection-Fraction is lower than the control group obviously (P0.05),the observation group Severity-Adverse-Event formation rate is higher than the control group obviously (P0.05).Conclusion Hypokalemia affects the Acute-myocardial-infarction patient's prognosis seriously,the enhancement clinical monitor has the significant clinical significance.
Keywords:Acute myocardial infarction  Blood Kalium  Creatine kinase isoenzyme  Troponin I  Left Ventricular Ejection Fraction
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