摘要
目的 评价心肌钙蛋白T (cTnT)在急性冠状动脉综合征的诊断价值。方法 收入急诊ICU的急性冠状动脉综合征病人分为 :AMI组和UAP组 ,抽取肘部静脉血 1ml立即注入肝素抗凝试管中 ,混匀。用德国宝灵曼中国有限公司提供的肌钙蛋白T灵敏检测试纸条进行定性检查。同时用放免分析方法测定血清CK、CK MB及AST。结果 AMI组cTnT阳性率为 70 6 % ,UAP组阳性率 16 7% ,两组阳性率对比有显著性差异性 (P <0 0 1)。结论 cTnT是反映心肌细胞损伤的灵敏性、特异性均较好的生化指标 ,cTnT定性检测可用于ACS早期鉴别诊断 ,其临床意义优于血清CK、CK MB及AST。
Objective Evaluating the diagnostic value of cardiac troponin T(cTnT)in acute coronary artery syndrome.Methods The patients with acute coronary artery syndrome in ICU of emergency department were divided into AMI group and UAP group.l ml venous blood was mixed with heparin in a test tube.Qualitative analysis of cTnT was detected by cTnT indicator paper(Boehringer Mannheim China Ltd.)At the same time,serun myocardial enzymes(CK,CK MB and AST)were measured by radioimmunoassay.Results cTnT positive rates of two groups had significant difference(rate of AMI group was 70 6%,that of UAP group 16 7%,P<0 01).Conclusion cTnT is a valuable biochemical indicator,sensitive and specific for myocardial injury.Qualitative analysis of cTnT may be used early in the differential diagnosis.It has more value than serum myocardial enzyms.
出处
《中华急诊医学杂志》
CAS
CSCD
2001年第1期33-34,共2页
Chinese Journal of Emergency Medicine
基金
辽宁省省科委基金项目! ( 96 80 2 0 0 8)
