文档介绍：MB和CK-MB/CK比值在诊断多发伤合并心肌损伤中的临床意义创伤外科杂志2006年第8卷第4期JTniunKiSurg,2006,Vol.&:1009-4237(2006)04—0307-039■307?9■论着?CK,CK—MB和CK—MB/CK比值在诊断多发伤合并心肌口71LJ*刘小玲.(1•重庆市急救医疗中心检验科,重庆损伤中的临床意义,孔令文,都定元,;,重庆400014)摘要:目的探讨肌酸激酶(CK),肌酸激酶同功酶()•方法选择多发伤患者104例,分为合并心肌损伤组41例(A组),无合并心肌损伤组63例(B组),分别进行损伤严重度评分(ISS),并采集血样测定CK,,计算CK-MB/CK比值,・A组CK—MB峰值及CK-MB/CK比值升高率明显高于B组(P<).,特界性,准确性,阳性似然比和 阴 性 似 然 比 分 别为:CK-%,%,%,,;CK-MB/%,%,%,,;CK-MB和CK-MB/CK比值是诊断多发伤心肌损伤的较好指标,-:多发伤;损伤严重度评分;心肌损伤;肌酸激酶;肌酸激酶/肌酸激酶同功酶中图分类号::-MBandCK-MB/CKratioindiagnosisofmultipletraumaswithmyocardialdamageLlUXiao一ling,KONGLing-wen,DU,lg-yll~lZ,etal・(DepartmentofLaboratoryInvestigation,ChongqingEinergencyMedicalCenter,Chongqing400014,China)Abstract:ObjectiveToexploretheclinicalsignificanceofCK,CK-MBandCK-MB/CKratiointhediag-,themultipletraumaswithmyocardialdamagein41cases(Agroup),andmultipletraumaswithoutmyocardialdamagein63cases(Bgroup).Theinjuryseverityscore(ISS),CK-MBandCK-MB/CKratioofbloodsampleswere&