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多发伤患者肌酸激酶同工酶与心肌肌钙蛋白I分离现象研究 被引量：3

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摘要 多发伤发病急、病情重、致伤原因多,常直接或间接引起心肌损害[12]。笔者在临床工作中发现多发伤患者心肌酶谱肌酸磷酸激酶同工酶(CK-MB)与心肌肌钙蛋白I(cTnl)作为诊断心肌损伤的主要生化指标,存在着变化不一致的分离现象。为探究其原因,对本院自2003年6月至2005年5月收治的255例多发伤患者进行回顾性分析。现将结果报告如下。
作者 蒋国平 严建平 罗汝斌 江观玉
机构地区 浙江大学医学院附属第二医院急诊中心
出处 《中华创伤杂志》 CAS CSCD 北大核心 2006年第5期387-389,共3页 Chinese Journal of Trauma
关键词 心肌肌钙蛋白Ⅰ(cTnⅠ) 分离现象 肌酸激酶同工酶 多发伤 伤患者 肌酸磷酸激酶同工酶 回顾性分析 致伤原因 心肌损害 生化指标
分类号 R641 [医药卫生—外科学]
  • 相关文献

参考文献8

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  • 3邵孝琪,蒋朱明．急诊医学．第2版．上海：上海科学技术出版社,2001．766—769．
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  • 8Nikolaou N, Spanodimos SG, Tsaglis E, et al. Biochemical evidence of cardiac damage following transvenous implantation of a permanent antibradycardia pacemaker lead. Pacing Clin Eleetrophysiol, 2005, 28 : 1174 -1181.

二级参考文献6

  • 1vip TM,Rananathan AV,Tueur PG,et al.Myocardial injury in critically ill patients: a frequently unrecognized complication[].The Journal of The American Medical Association.1995
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共引文献9

同被引文献36

  • 1陆雪梅,吴庆军,华满堂.外伤患者心肌酶增高的临床意义(附7例报告)[J].海军医学杂志,2005,26(2):122-123. 被引量：3
  • 2吴晓华,严明忠,曾波,周敏.创伤创面对心肌酶谱的影响[J].蛇志,2006,18(2):111-112. 被引量：5
  • 3Babuin L, Jaffe AS. Troponin: the biomarker of choice for detection feardiac injury. CMAJ, 2005, 173:1191-1202.
  • 4Cummins B, Auckland M, Cummins P. Cardiac-specific troponin-Ⅰ radioimmunoassay in the diagnosis of acute myocardial infarction. Am Heart J, 1987, 113(6):1333.
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  • 6Roongsritong C, Warraich I, Bradley C. Common causes of troponin elevations in the absence of acute myocardial infarction. Chest, 2004, 125:1877-1884.
  • 7Ammann P, Fehr T, Minder El, et al. Elevation of troponin Ⅰ in sepsis and septic shock. Intensive Care Med,2001,27: 965-969.
  • 8ver Elst KM, Spapen HD, Nguyen DN, et al. Cardiac troponins Ⅰ and T are biologic markers of left ventricular dysfunction in septic shock. Clin Chem, 2000,46:650-657.
  • 9Arlati S, Brenna S, Prencipe L, et al. Myocardial necrosis in ICU patients with acute non-cardiac disease: a prospective study. Intensive Care Med, 2000,26:31-37.
  • 10Lindstaedt M, Germing A, Lawo T, et al. Acute and long-term clinical significance of myocardial contusion following blunt thoracic trauma: results of a prospective study. J Trauma, 2002,52:479-485.

引证文献3

二级引证文献9

中华创伤杂志
2006年 第5期

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