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肌钙蛋白T在急性心肌梗死中的诊断价值
引用本文:吴镜,王伟,刘汉雄,杨源烈,燕纯伯,廖雪松,蔡琳.肌钙蛋白T在急性心肌梗死中的诊断价值[J].职业卫生与病伤,2003,18(3):174-175.
作者姓名:吴镜  王伟  刘汉雄  杨源烈  燕纯伯  廖雪松  蔡琳
作者单位:成都市第三人民医院,610031
摘    要:目的 探讨血清肌钙蛋白T(cTnT)的动态变化对急性心肌梗死(AMI)的诊断价值。方法采用快速检测cTnT全血试剂条对58例AMI患者进行动态血清cTnT观察,同时测定CK-MB。结果cTnTAMI在梗塞后2h内阳性率为63.3%,8h-5d阳性率为100%,7、14、21d分别为91.8%、53.1%、2.04%,而CK-MB在梗死后2h内的阳性率为14.3%,8h~2d阳性率为100%.而3、4、5、7d分别为79.2%、34.6%、14.8%、0。结论 cTnT定性检测对AMI诊断有早期、特异性高、时间窗长的特点。

关 键 词:肌钙蛋白T  急性心肌梗死  CK-MB  cTnT  AMI  诊断

The Value of Troponion T on Diagnosis of Acute Myocardial Infaction
Wu Jing,Wang Wei,Liu Hanxiong,et al..The Value of Troponion T on Diagnosis of Acute Myocardial Infaction[J].Journal of Occupational Health and Damage,2003,18(3):174-175.
Authors:Wu Jing  Wang Wei  Liu Hanxiong  
Institution:Wu Jing,Wang Wei,Liu Hanxiong,et al. The 3nd Hospital of Chengdu Sichuan 610031
Abstract:Objective To research the value of serum cardiac troponin T(cTnT) variation on diagonosis of acute myocardial infarction(AMI).Methods Serum cTnT and creatine kinase isoenzyme MB(CK-MB)in 58 patients with AMI were measured variably. Results The positive percentages of cTnT were 63.3% in 2 hours after infarction,8 hours to 5 days later were 100%,and 7,14,21 days later were 91 8%, 53 1% and 2 04%, Repectively the positive percentages of CK-MB were 14 3% in 2 hours after in farction,8 hours to 2 days later were 100% and 3,4,5,7 days later were 79 2%,34 6%,14 8%,0%.Conclusion The measurement of cTnT is early,specfic and long time window for diagnosis of AMI.
Keywords:Troponin T Acute Myocardial lnfarction Creatine Kinase isoenzyme MB
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