论文部分内容阅读
目的分析老年患者院内临床心源性猝死病因-心肌酶谱。方法回顾性分析孝感市康复医院2015年5月—2016年5月收治的老年患者70例,根据是否发生院内临床心源性猝死分为未发组50例及心源性猝死组20例。检测比较两组患者心肌酶谱[天门冬氨酸氨基转移酶(AST)、肌酸激酶(CK)、肌酸激酶同工酶(CKMB)、乳酸脱氢酶(LDH)、α-羟丁酸脱氢酶(HBHD)],并分析老年患者院内临床心源性猝死的病因。结果心源性猝死组患者AST、CK、CK-MB、LDH、HBHD水平高于未发组(P<0.05)。结论老年院内心源性猝死患者心肌酶指标较高,提示心肌损伤是心源性猝死发生的重要诱因,因此及时保护心肌是降低老年患者病死率的重要途径。
Objective To analyze the cause of myocardial infarction-myocardial enzymes in elderly patients. Methods A retrospective analysis of 70 elderly patients admitted to the Rehabilitation Hospital of Xiaogan Rehabilitation Hospital from May 2015 to May 2016 was divided into 50 cases in the non-onset group and 20 cases in the sudden cardiac death group according to whether clinical sudden cardiac death occurred. The levels of myocardial enzymes, including aspartate aminotransferase (AST), creatine kinase (CK), creatine kinase (CKMB), lactate dehydrogenase (LDH) Dehydrogenase (HBHD)] and analyze the etiology of hospital-acquired sudden cardiac death in elderly patients. Results The levels of AST, CK, CK-MB, LDH and HBHD in sudden cardiac death group were significantly higher than those in non-onset group (P <0.05). Conclusions Myocardial enzymes in elderly patients with sudden cardiac death are higher, suggesting that myocardial injury is an important cause of sudden cardiac death. Therefore, timely protection of myocardium is an important way to reduce the mortality of elderly patients.