心肌酶谱与急性重症颅脑疾病关系的探讨

The relationship between myocardial zymogram and acute severe brain disease

目的通过研究重症医学科(ICU)中急性重症颅脑疾病患者心肌酶谱的不同变化,分析急性重症颅脑疾病患者心肌酶谱变化的可能原因及其对治疗的指导意义。方法选取2009-01—2012-10入住我院重症医学科的225例急性重症颅脑疾病患者作为研究组,留取发病或术后当天及第2、3、4、5天的静脉血,应用免疫抑制法检测CK、CK-MB数值。结果急性重症颅脑疾病组94%的患者CK、CK-MB高于正常(P<0.05);但也有少数患者的CK、CK-MB异常升高或正常。结论大多数急性重症颅脑疾病患者CK、CK-MB升高,对判断病情及预后有较好的指导作用。

Objective To investigate the relationship between myocardial zymogram and acute severe brain disease.Methods 225patients with acute critical brain disease from January 2009 to October 2012 in CCU were considered as the study group.The venous blood of patients was collected on the 1st、2nd、3rd、4th、5th day and the levels of CK and CK-MB were measured by immunosuppression method.Results The levels of CK and CK-MB of most patients with acute critical brain disease were higher than these of healthy person.Conclusion Most of acute critical brain disease patients have a higher levels of CK and CK-MB,which has better guiding for judging the disease condition and prognosis.