摘要
目的:探讨急性心肌梗死患者常用血清标志物的临床诊断价值和主要特征。方法:统计分析2010年6月至2011年5月期间本院178例急性心肌梗死患者胸痛发作后24 h内心肌酶谱、肌红蛋白、肌钙蛋白的结果,总结不同的血清标志物在急性心肌梗死病程中的增高倍数、延迟时间。结果:非ST段抬高型心肌梗死(NSTEMI)比急性ST段抬高型心肌梗死(STEMI)病例血清标志物检测阳性率低;STEMI各项标志物检测阳性率明显高于NSTEMI。STEMI心肌酶谱各项指标增高倍数均高于NSTEMI,延迟时间比NSTEMI长。结论:检测各种血清标志物对急性心肌梗死的诊断和治疗具有非常重要的意义。
Objective：To explore the clinical significance and the main features of the commonly used serum markers in patients with acute myocardial infarction（AMI）.Methods：Serum markers myocardial enzymes,myoglobine and troponin of 178 patients with AMI were detectedwithin 24h after chest pain.Summary of different enzymes in acute myocardial infarction increased in the course of multiple and the time delay.Results：The positive rate of serum markers in ST-segment elevation myocardial infarction（STEMI） patients much higher than that in Non-ST-segment elevation acute myocardial infarction（NSTEMI）.Multiple indicators increased myocardial enzymes of STEMI were higher than those in NSTEMI,long delay time than NSTEMI.Conclusion：The detection of serum markers has very important significance in acute myocardial infarction diagnosis and treatment.
出处
《中国医药导刊》
2012年第9期1605-1606,共2页
Chinese Journal of Medicinal Guide
关键词
急性心肌梗死
心肌酶
肌红蛋白
肌钙蛋白
Acute myocardial infraction； Myocardial enzymes； Myoglobine； Troponin
