文档介绍：心肌标志物与心肌酶变化的比较分析
【摘要】目的比较心肌标志物和心肌酶的临床敏感性和特异性。方法对113例拟似急性冠状动脉综合征(ACS)患者在入院后24小时内进行心肌标志物三项[肌钙蛋白T(TNT)、肌酸激酶同工酶MB质量(CK-MB mass)、肌红蛋白(MYO)]和心肌酶四项[乳酸脱氢酶(LDH)、肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)、天门冬氨酸氨基转移酶(AST)]检测,对心肌标志物与心肌酶测定结果进行比较分析。结论心肌标志物的敏感性和特异性明显高于心肌酶,特别TNT不受其它因素的干扰。结论建议临床使用心肌标志物进行诊治。
【关键词】急性冠状动脉综合征患者(ACS);心肌标志物;心肌酶
Compare the Changment of Myocardium damage mark and Myocardium enzyme
Zhou LinHua, Zhi GuoHua, Deng DeYao, Xue YunSong
Department of Clinical Laboratory,the second People’s hospital of Kunming city, Yunnan 650021
【Abstract】pare the sensibility and specificity of myocardium damage mark and myocardium Test the myocardium damage mark [Troponin T ( TNT) , Creatine kinase isoenzyme MB mass (CK-MB mass), Myoglobin (MYO) ]and the myocardium enzyme [lactate dehydrogenase (LDH),creatine kinase (CK), Creatine kinase isoenzyme (CK-MB), Aspartate aminotransferase (AST)]of the 113 patients with Acute coronary syndrome(ACS) within 24 hours after pare the testing results of myocardium damage mark and the myocardium The sensibility and specificity of myocardium damage mark is obviously higher than the myocardium enzyme, and the TNT is free from interference It is proposed that the Myocardium damage mark be used for diagnosis and treatment.
【Keyword】Acute coronary syndrome(ACS); Myocardium damage mark; Myocardium enzyme
急性心肌梗死(AMI)诊断有3