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本文旨在探索血清肌球素测定是否适用于肾功能不全患者的心肌梗塞的早期诊断。在20例接受内科保守疗法的程度不同的肾功能不全患者(肾小球肾炎10例,肾盂肾炎5例,间质性肾炎3例,肾硬化2例)和正在进行长期透析疗法(血液透析或血液过滤)的24例晚期肾功能不全患者中,用放射免疫方法测定血清肌球素浓度。检查时无1例有心肌梗塞或原发性心肌病的临床或心电图证据。
This article aims to explore whether serum myoglobin is suitable for the early diagnosis of myocardial infarction in patients with renal insufficiency. In 20 patients with varying degrees of medical conservative treatment of renal insufficiency (glomerulonephritis in 10 cases, pyelonephritis in 5 cases, interstitial nephritis in 3 cases, 2 cases of nephrosclerosis) and ongoing long-term dialysis (hemodialysis or Blood filtration) in 24 patients with advanced renal dysfunction, the radioimmunoassay was used to measure serum myoglobin concentration. None of the patients underwent clinical or electrocardiographic evidence of myocardial infarction or primary cardiomyopathy.