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目的探讨检测心肌肌钙蛋白I(cTnI)对病毒性心肌炎(VMC)的诊断及病情观察的价值。方法对44例VMC患者和20例对照者进行动态监测cTnI,探讨cTnI与VMC及病程关系的研究。结果在诊断VMC时,患者在各检测期内血清cTnI的阳性率(68.18%)显著高于心肌酶谱各项(P<0.01)。结论在VMC诊断中,cTnI可取代传统的测定作为诊断VMC的重要指标,同时cTnI在VMC病情进展的观察中也具有重要意义。
Objective To investigate the value of detecting cardiac troponin I (cTnI) in the diagnosis and observation of viral myocarditis (VMC). Methods Forty-four patients with VMC and 20 controls were monitored dynamically for cTnI to investigate the relationship between cTnI and VMC and the course of disease. Results In the diagnosis of VMC, the positive rate of serum cTnI in patients (68.18%) was significantly higher than that in myocardial enzymes (P <0.01). Conclusion In the diagnosis of VMC, cTnI can replace the traditional determination of VMC as an important indicator of diagnosis, cTnI in VMC disease progression is also of great significance.