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《c-反應(yīng)蛋白、d-二聚體及肌鈣蛋白在診斷急性心血管病中的應(yīng)用》由會(huì)員上傳分享,免費(fèi)在線閱讀,更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。
1、JLi遼孝臣虧嚆學(xué)報(bào)2013De.34(6)aoningMediealUniversity?23C一反應(yīng)蛋白、D一二聚體及肌鈣蛋白在診斷急性心血管病中的應(yīng)用李鳳,李來傳,史有奎(濰坊醫(yī)學(xué)院附屬醫(yī)院急診科,山東濰坊261000)摘要:目的對(duì)患者快速血液檢測(cè)C一反應(yīng)蛋白(CRP),D一二聚體(DD)及肌鈣蛋白(cTnT)的含量進(jìn)行初步診斷急性心血管疾病的類型及疾病的進(jìn)展程度。方法選擇符合急性心血管疾病的研究組:患者72例,包括急性冠脈綜合癥(ACS)組35例,非急性冠脈綜合癥(非ACS)組37例,其亞組包
2、括主動(dòng)脈夾層破裂(AD)組17例和肺動(dòng)脈栓塞(PTE)組20例;非急性心血管疾病組為對(duì)照組40例。結(jié)果急性心血管疾病組的三種蛋白的含量明顯高于非急性心血管疾病組;其中,AD和PTE組中c一反應(yīng)蛋白,D一二聚體的含量明顯升高,并且D一二聚體顯著升高組AD可能性最大,另外肌鈣蛋白在急性冠脈綜合癥患者中含量明顯高于AD和E組。結(jié)論C一反應(yīng)蛋白,D一二聚體及肌鈣蛋白的含量可以應(yīng)用于急診急性心血管疾病的初步篩查,顯著提高急診急性心血管疾病的確診率。關(guān)鍵詞:C一反應(yīng)蛋白(CRP);D一二聚體(DD);肌鈣蛋白(c
3、TnT)中圖分類號(hào):R543文獻(xiàn)標(biāo)志碼:A文章編號(hào):1674—0424(2013)06—0023—03TheApplicationValueofC—ReactiveProtein,D—DimerandTroponinintheDiagnosisofAcuteCardiovascularDiseaseLIFeng,L1Laichuan,SHIYoukui(EmergencyDepartment,WeifangMedicalUniversity,Weifang261000China)Abstract:0b
4、jectiveTomakethepreliminarydiagnosisofacutecardiovasculardiseasetypesandtheprogressionofdisease.SelectingthepatientstorapidlytestbloodcontentofC—reactiveprotein(CRP),D—dimer(DD)andtroponin(cTnT).MethodsChooseteammeetingacutecardiovasculardisease:72cases
5、ofpatients,including35easesofacutecoronarysyndrome(ACS)group,the37casesofnotacutecoronarysyndrome(ACS)group,including17casesofrup—turedaorticdissection(AD)groupand20casesofpulmonaryembolism(PTE)group.Thenotacutecardiovasculardis—easegroupconcluding40cas
6、esisthecontrolgroup.ResultsThecontentofthreekindsproteinintheacutecardiovasculardiseasegroupwassignificantlyhigherthanthenotacutecardiovasculardiseasegroup;Amongthem,theC—reactivepro—teinandD—dimerinPrrEandADgroupsincreasedsignificantly.a(chǎn)ndtheD—dimerrem
7、arkableraisedremindsthelargestpossibilityofADgroup.a(chǎn)ndtroponinlevelsweresignificantlyhigherthanthoseinpatientswithADandEgroups.Con-clusionThecontentofC—reactiveprotein,D—dimerandtroponincanbeappliedtothepatientswithacutecardiovascu—lardiseaseintheemerge
8、ncydepartmentforpreliminaryscreening,significantlyimprovethepositiverateofemergencytreat—mentofacutecardiovasculardisease.Keywords:C·reactiveprotein(CRP);D—dimer(DD);troponin(cTnT)現(xiàn)今社會(huì),因?yàn)榧毙灾旅孕难芗膊【驮\于床表現(xiàn)多種多樣,如何做到及時(shí)準(zhǔn)確的診斷疾病,急診的患者已經(jīng)