肌钙蛋白Ⅰ和C反应蛋白联合超声心动图对肺栓塞患者预后的评估价值  

Clinical value of cardiac troponinⅠ combined with serum c-reactive protein and echocardiography in acute pulmonary embolism

作　　者：杨锡恒[1] 廖发荣[1] 戴日新[1] 莫新玲[1] 

机构地区：[1]桂林医学院附属医院心内科,广西桂林541001

出　　处：《华夏医学》2017年第5期43-46,共4页Acta Medicinae Sinica

摘　　要：目的:探讨肌钙蛋白Ⅰ(TnⅠ)和C反应蛋白(CRP)联合超声心动图检查对急性肺栓塞预后的评估价值。方法:根据血清TnⅠ水平和CRP水平,将124例急性肺栓塞患者分为3组,比较3组的不良事件发生率及右心室功能各指标。结果:3组间临床不良事件发生率有统计学意义。C组同A组和B组相比较,临床不良事件发生率更高,差异具有统计学意义(P<0.05)。结论:TnⅠ和CRP联合超声心动图检查可以评估急性肺栓塞预后,在指导临床治疗中有一定的应用价值。Objective： To evaluate the value of cardiac troponin Ⅰ and C-reactive protein combined with echocardiography in the prognosis of patients with acute pulmonary embolism. Methods： According to the levels of cardiac troponin Ⅰ and C-reactive protein,124 cases of acute pulmonary embolism patients were divided into three groups,and the incidence rate of adverse events and the index of right ventricular functions in three groups were compared. Results： There were statistical differences of incidence rate of clinical adverse events between the three groups. Group C has a higher incidence of clinical adverse events compared with group A and group B,which were of statistical differences（ P〈0. 05）. Conclusion： It is accurate to assess the prognosis of acute pulmonary embolism by TNT and CRP combined with echocardiography,and it can be used to guide clinical treatment.

关 键 词：肌钙蛋白Ⅰ C反应蛋白 超声心动图 肺栓塞 

分 类 号：R540.45[医药卫生—心血管疾病] R563.5[医药卫生—内科学]