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目的:探讨血清胆红素在急性心肌梗死(AMI)患者中的临床意义。方法:比较AMI组与正常对照组入院时血清胆红素,并比较高胆红素组与低胆红素组的CK-MB高峰值和病死率。结果:AMI组胆红素低于正常对照组(P<0.05);低胆红素组CK-MB高峰值及病死率明显高于高胆红素组(P<0.05)。结论:血清胆红素减低可能是急性心肌梗死的危险因子之一;AMI患者胆红素越低,心肌梗死面积越大,病死率越高。
Objective: To investigate the clinical significance of serum bilirubin in patients with acute myocardial infarction (AMI). Methods: Serum bilirubin was compared between AMI group and normal control group at admission, and the CK-MB peak and mortality of high bilirubin group and low bilirubin group were compared. Results: The bilirubin in AMI group was lower than that in normal control group (P <0.05). The peak and mortality of CK-MB in low bilirubin group was significantly higher than that in hyperbilirubin group (P <0.05). Conclusion: The decrease of serum bilirubin may be one of the risk factors for acute myocardial infarction. The lower the bilirubin and the larger the area of myocardial infarction are, the higher the mortality is.