心脏损伤患者心肌酶检测的临床意义  

Clinical significance of cardiac enzyme test in patients with cardiac injury

作　　者：洪琼川[1] 李志华[1] 李绍鹏[1] 麻成方[1] 魏春勇[1] 

机构地区：[1]广东省深圳市龙岗中心医院心胸外科,518116

出　　处：《中华全科医学》2014年第7期1078-1079,共2页Chinese Journal of General Practice

摘　　要：目的研究动态监测心肌酶水平是否可反映心脏损伤患者的病情变化,是否可作为早期对病情进行准确的评估、对预后进行预测的指标,为迟发性心脏破裂的早期诊断及心脏损伤严重程度的准确评估提供方法。方法160例心脏损伤病例,根据损伤严重程度评分(ISS)分为轻度损伤、中度损伤、重度损伤3组,选择60例无心脏损伤病例作为对照组,将各组患者血清心肌酶值对比分析。结果心脏损伤各组患者心肌酶含量均高于对照组;重度组的心肌酶含量高于中度组(P<0.05),且有3例患者发生迟发性心脏破裂;中度组含量高于轻度组(P<0.05)。结论心肌酶水平越高心脏损伤越严重,血清心肌酶水平的高低可反映心脏损伤患者的病情变化,且能作为迟发性心脏破裂的预测指标之一。Objective The evaluate the utility of cardiac enzyme dynamic test on the early assessment of condition and prognosis of patients,and provide an approach for the early diagnosis of delayed cardiac rupture and accurate assessment of cardiac injury severity. Methods Total 160 cases of cardiac injury were enrolled and divided into severe injury group, moderate injury group and mild injury group; 60 healthy people without cardiac injury were recruited as the control group. The value of serum myocardial enzymes were tested and compared between the two groups. Results The levels of myocardial enzymes of cardiac injury patients were averagely higher than the control group. The contents of serum enzyme for severe injury group were higher than that of moderate injury group（ P〈0. 05）,three cases of which were with delayed cardiac rupture; The contents of serum enzyme of moderate injury group were higher than that of the mild injury group（ P〈0. 05）. Conclusion The level of serum enzymes is positive correlated with the severity of cardiac injury,and reveal the condition of patients,so it can be one of the predictors of delayed cardiac rupture.

关 键 词：心脏损伤 心肌酶 心包填塞 休克 

分 类 号：R541[医药卫生—心血管疾病] R446.11[医药卫生—内科学]