论文部分内容阅读
目的探讨出不同原因的心肌损伤,选择不同的检查项目,确定诊断和鉴别诊断。方法选择40例有心肌缺血症状的成人及158例疑似心肌炎患儿,测定血清AST,CK,CK-MB,LDH,HBDH活性、CK及LDH同工酶电泳及心肌相关蛋白,将测定结果与临床诊断进行对比分析。结果40例胸前区疼痛或有胸闷气短症状患者,经AST,CK,CK-MB,LDH,HBDH,CK及LDH同工酶电泳及相关蛋白检测,临床确诊急性心肌梗死(AMI)32例,排除8例。结论AMI发病初期,测定cTnI,MMB,MYO有助于早期诊断。
Objective To explore the different causes of myocardial injury, select a different test items, to determine the diagnosis and differential diagnosis. Methods 40 adults with myocardial ischemia and 158 children with suspected myocarditis were enrolled in this study. Serum AST, CK, CK-MB, LDH and HBDH activities, CK and LDH isoenzymes and myocardial related proteins were determined. Clinical diagnosis for comparative analysis. Results Thirty patients with thoracic pain or chest tightness and shortness of breath were diagnosed as acute myocardial infarction (AMI) by AST, CK, CK-MB, LDH, HBDH, CK and LDH isoenzymes and related proteins. Exclude 8 cases. Conclusion The early onset of AMI, determination of cTnI, MMB, MYO help early diagnosis.