血清肌钙蛋白I变化在多发伤患者早期预后评估中的价值  

Clinical significance of serum cardiac troponin Ⅰ variance in early prognosis evaluation of mulitiple trauma patients

作　　者：谭宁锋 

机构地区：[1]湖南省新田县人民医院急诊科,湖南新田425700

出　　处：《中国现代医学杂志》2014年第22期89-91,共3页China Journal of Modern Medicine

摘　　要：目的观察多发伤患者心脏肌钙蛋白I的动态变化并探讨其与急性生理学和长期健康评分（APACHEⅡ）的关系。方法选取该院2011年1月~2012年12月收治的多发伤患者228例为研究对象,根据APACHEⅡ评分分为危重组（APACHEⅡ≥15）125例和普通组（APACHEⅡ〈15）103例,并测定伤后入院时血清cTNI水平。结果 228例患者中cTNI异常121例（53.07%）;血清cTNI水平危重组〉普通组（P〈0.01）,APACHEⅡ评分越高,cTNI水平越高。结论血清cTNI可作为判断多发伤患者早期预后的参考指标。[Objective] To investigate the the dynamic variation of serum cardiac troponin I level in mulitiple trauma patients and its relevance to acute physiology and chronic health evaluation（APACHE）U. [Methods] 228 patients with mulitiplc trauma, who were treated in our hospital from January 2011 to December 2012, were divided into critical group （125 cases, APACHE Ⅱ ≥ 15） and normal group （I03 cases, APACHE Ⅱ 〈15）. The concentration of cTNI in serum in the two groups was measured on admission. [Results] cTNI level was abnormal in 121 of all 228 cases （53.07%）. cTNI level in critical groups were higher than that in normal groups （P 〈0.01）. The higher A- PACHE Ⅱ score was, the higher cTNI level was. [ Conclusion ] cTNI can be early index to assess the prognosis of multiple trauma patients.

关 键 词：多发伤 心脏肌钙蛋白I 急性生理学和长期健康评分Ⅱ 

分 类 号：R459.7[医药卫生—急诊医学]