脓毒血症时心肌损伤和心肌标志物的研究进展

Research Progress in Cardiac Marker of Myocardial Injury in Sepsis

脓毒血症发病率越来越高,病死率呈逐年上升趋势。脓毒血症所致心肌损害是死亡的主要原因之一,国内外关于脓毒血症造成的心肌损害尚未有统一诊断标准,主要依靠心脏超声和心肌标志物进行诊断。心肌标志物在脓毒血症的诊断及预后评估中起着一定的作用,不同的心肌标志物具有不同的敏感性及特异性,心肌标志物水平的高低预示着患者预后及病情危重程度。

The ineidenee and mortality of sepsis showed an increasing trend. Myocardial damage caused by sepsis is one of the main causes of death, and there is no unified diagnosis standard of myocardial damage caused by sepsis, which mainly relies on cardiac ultrasound and cardiac markers. Myocardial damage markers play a certain role in the diagnosis and prognosis of sepsis, and different cardiac markers have different sensitivity and specificity, and the content of cardiac markers indicates the prognosis and severity of the disease.