ECG与心肌肌钙蛋白T在AMI诊断中的价值比较  

ECG and cardic muscle myo-calcium protein T compares in the AMI diagnosis value.

作　　者：肖风兰 宋延梅[2] 张荣梅[1] 田玉娟[1] 

机构地区：[1]山东省泰安市第二人民医院,山东泰安271021 [2]泰山医学院附属医院

出　　处：《中国实验诊断学》2004年第4期361-362,共2页Chinese Journal of Laboratory Diagnosis

摘　　要：目的　探讨心电图 (ECG)和心肌肌钙蛋白T(cTNT)在急性心肌梗死 (AMI)诊断中的价值。方法　选择 10 8例胸痛发作 3h内入院的AMI患者 ,并经ECG和cTNT双重连续性监测 ,对比AMI患者ECG特征性改变和相应时间里cTNT的变化。结果　 3h内ECG巨大高耸T占 5 6 %、cTNT升高超出正常者 5 4 % ,2 4hECG出现病理性Q波 78%、cT NT明显升高者 10 0 % ,72h心电图ST段稳定下降者 6 5 %、cTNT均保持较高水平的升高。结论　cTNT对AMI的特异性、敏感性优于ECG ,且诊断时间窗宽 。Objective Goal The discussion electrocardiogram(ECG) and cardic muscle myo calcium protein T(cTNT) (AMI) diagnoses at the acute cardiac arrest the value.Methods Chooses 108 examples chest pain to manifest suddenly the ATM patient which in 3 hours is hospitalized, and after ECG and the CTNT dual continuity monitor, contrasts AMI in the patient ECG characteristic change and the corresponding time the cTNT change.Results In 3 hours ECG greatly stands tall and erect T 5 6%, CTNT elevates surpasses the normalcy 54%, 24 hour ECG appears the pathological Q wave 78%, CTNT obviously elevating 100%, 72 hours electrocardiograms ST section stable drop 65%, CTNT maintains compares the high level.Conclusion CTNT to the AMI specificity, the sensitivity surpasses ECG, moreover the diagnosis time window is wide, but to establishes the stem dead spot and the demonstration stem dies whether puts on the wall to be inferior to ECG.

关 键 词：心电图 急性心肌梗死 心肌肌钙蛋白T 

分 类 号：R542.22[医药卫生—心血管疾病]