脑出血患者早期血清心肌酶谱的变化  

Analysis of cardiac enzymes of cerebral hemorrhage

作　　者：张丽英[1] 张红[1] 

机构地区：[1]北京市石景山医院急诊科,北京100043

出　　处：《现代医药卫生》2009年第6期810-811,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨脑出血患者早期血清心肌酶变化的临床意义。方法:70例脑出血患者在发病48h内检测血清谷草转氨酶(AST)、血清肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)、乳酸脱氢酶(LDH),并以同期89例健康体检者作为对照。比较脑出血组和对照组,意识障碍组和无意识障碍组心肌酶变化。结果:脑出血患者心肌酶高于健康体检者,意识障碍患者心肌酶高于无意识障碍患者。结论:脑出血患者早期血清心肌酶应激性增高,血清心肌酶谱可以作为判断疾病的严重程度和预后的指标之一。Objective：To study the characteristics and mechanism of cardiac enzymes of acute cerebral hemorrhage （CH）. Methods：Aspartate transaminase （AST）,ereatine kinase （CK）, phosphocreafine kinase （CK-MB） and lactate dehydrogenase （LDH） were determined in 70 patients with CH within 48 h and compared with normal control group. The cardiac enzymes of CH group and control group,consciousness disturbance group and consciousness group were compared. Results：The cardiac enzymes of CH were higher than those of the control group （P〈0.05）. Compared with consciousness group, the cardiac enzymes were significant increased in consciousness disturbance group（P〈0.05）. Conclusion：The cardiac enzymes are greatly increased in CH. And the serum cardiac enzymes can be helpful to determine the severity and prognosis of CH.

关 键 词：脑出血 心肌酶 应激 

分 类 号：R5[医药卫生—内科学]