摘要
目的:评估血清肌钙蛋白T(cardiactroponinTTnT)对烧伤后心肌损伤的诊断价值。方法:采用酶免法测定157例烧伤患者血清TnT水平并与患者伤后血清心肌酶水平比较。结果:TnT在重度烧伤组为(0.58±0.18)ng/ml阳性率为56%,电烧伤组为(0.71±0.45)ng/ml阳性率为50%,中度烧伤组为(0.08±0.06)ng/ml,阳性率为13%,表明烧伤后血清TnT升高水平及阳性率与烧伤面积有关。而心肌酶谱并非心肌损伤的特异性指标,在骨骼肌等其它脏器损伤时也出现增高。结论:血清TnT测定对于烧伤后心肌损伤诊断的特异性明显优于心肌酶。
Objective： To evaluate the significance of the changes in serum troponin T （TnT） level in the diagnosis of myocardial damage post burn. Method： Serum TnT level of 157 burn patients was determined by enzyme immunoassay and compared with the level of myocardial enzyme. Result： In severe burn group, TnT level was 0.58±0.18 ng/ml and the positive rate was 56%. In electric burn group. TnT level was 0.71±0.45 ng/ml and the positive rate was 50%. In moderate burn group, TnT level was 0.08±0.06 ng/ml and the positive rote was 13%. This indicated that burn severity is related to the level and the positive rote of TnT. Myocardial enzyme spectrum is not specific for diagnosis of myocardial damage. Conclusion： Serum TnT level is a specific index for diagnosis of myocardial damage post burn.
出处
《中国烧伤创疡杂志》
2005年第3期187-190,共4页
The Chinese Journal of Burns Wounds & Surface Ulcers
关键词
肌钙蛋白T
心肌酶
烧伤
心肌损伤诊断
Troponin T
myocardial enzyme
burn
diagnosis of myocardial damage
