摘要
目的探讨心力衰竭患者快速检测脑利钠肽(BNP)水平对心衰诊断的临床意义。方法2007年3月～2008年3月在我院住院的呼吸困难患者54例,其中心源性呼吸困难36例,肺源性呼吸困难18例,均快速定量检测BNP,超声心动图检测左室舒张末内径(LVEDD)。结果心源性呼吸困难组BNP水平明显高于肺源性呼吸困难组(P<0.01);心功能分级越重,BNP水平越高。结论快速检测BNP水平可鉴别心源性呼吸困难和肺源性呼吸困难,BNP水平越高,心功能越差。
Objective To determine the serum level of B-natriuretic peptide and evaluate the diagnostic value of BNP in patients with decompensated heart failure. Methods BNP levels were obtined by a rapid immunofloreseence assay in 54 patients with dyspnea including eardiogenic group（36 patients ）and lung diseases（ 18 patients ）. Left ventricular injection fraction（LVEF） of all patients were measured by echoeardiogram. Results There was a great difference of BNP between eardiogenic dyspnea group[（ 825.2 ± 92.3ng/L] and lung dyspnea group [（52.8 ± 9.1 ）ng/L]. Conclusion Rapid testing BNP should be of help to differentiate pulmonary dyspnea from cardiac etologies.
出处
《中国现代医生》
2009年第17期35-35,39,共2页
China Modern Doctor
关键词
心力衰竭
脑利钠肽
Heart failure
Natriuretic peptide
