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血清肌钙蛋白Ⅰ对小儿病毒性心肌炎的诊断价值探讨
引用本文:梅帅虎,陈艺华,陈艳萍,何万军.血清肌钙蛋白Ⅰ对小儿病毒性心肌炎的诊断价值探讨[J].医学临床研究,2004,21(4):345-346.
作者姓名:梅帅虎  陈艺华  陈艳萍  何万军
作者单位:湘西自治州人民医院儿科,湖南,吉首,416000;湘西自治州人民医院儿科,湖南,吉首,416000;湘西自治州人民医院儿科,湖南,吉首,416000;湘西自治州人民医院儿科,湖南,吉首,416000
摘    要:【目的】探讨血清肌钙蛋白I(CTnI)在小儿病毒性心肌炎诊断中的价值。【方法】将 1 998年 1月至2 0 0 2年 1 2月间临床诊断为病毒性心肌炎的住院患儿 6 8例 ,在同一时段 ,同一份血清分别测试CTnI、血清肌酸激酶心肌型 (CK MB)值。【结果】CTnI对诊断小儿病毒性心肌炎敏感性高于CK MB(P <0 .0 1 ) ;CTnIT诊断窗口时间明显长于CK MB(P <0 .0 1 )。【结论】CTnI有助于病毒性心肌炎的诊断 ,且操作简便 ,无需昂贵仪器 ,便于基层使用

关 键 词:心肌炎/诊断  病毒性疾病  肌钙蛋白Ⅰ/血液
文章编号:1671-7171(2004)04-0345-02
修稿时间:2003年10月28

Study on Evaluation of Serum CTnI in the Diagnosis of Children Viral Myocarditis
MEI Shuai-hu,CHEN Yi-hua,CHEN Yan-ping,et al.Study on Evaluation of Serum CTnI in the Diagnosis of Children Viral Myocarditis[J].Journal of Clinical Research,2004,21(4):345-346.
Authors:MEI Shuai-hu  CHEN Yi-hua  CHEN Yan-ping  
Abstract:To investigate the diagnostic value of serum cardiac troponin I (CTnI) levels in children viral myocarditis (CVM).Sixty-eight children diagnosed clinically as CVM were admitted in our hospital from January ,1998 to December,2002. Their serum CTnI levels and creatine kinase-MB(CK-MB) activities were estimated at the same time.The sensitivity of serum CTnI level for diagnosis of CVM was higher than that of CK-MB(P<0.01); but the duration required for diagnostic report in CTnI was much longer than that in CK-MB (P<0.01).Conclusion]The serum CTnI level is helpful to the diagnosis of CVM. Its estimation can be performed simply, without expensive instruments and its application is convenient in common hospitals.
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