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目的 探讨血清心肌肌钙蛋白T对复苏患者心肌损伤的临床价值。方法 对 6 9例心跳、呼吸骤停的患者进行标准心肺复苏 ,观察心室颤动前和复苏后患者心肌肌钙蛋白T水平的变化。结果 复苏患者在恢复自主循环 1h后 ,血清心肌肌钙蛋白T就明显升高 ,且升高水平与患者的病死率相对应。结论 复苏患者存在急性心肌损伤 ;心肌肌钙蛋白T浓度能客观地反映心肌受损状态。
Objective To investigate the clinical value of serum cardiac troponin T in myocardial injury in patients with resuscitation. Methods Sixty-nine patients with cardiac arrest and respiratory arrest underwent standard cardiopulmonary resuscitation. Changes of cardiac troponin T level before and after ventricular fibrillation were observed. Results In resuscitation patients, serum cardiac troponin T was significantly increased 1 h after resumption of spontaneous circulation, and the level of increase corresponding to the patient’s mortality. Conclusion There is acute myocardial injury in patients with resuscitation; cardiac troponin T concentration can objectively reflect the status of myocardial damage.