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目的探讨心脏脂肪酸结合蛋白(H-FABP)快速检测试剂盒在诊断早期急心肌梗死(AMI)的应用价值。方法临床选取因胸痛6h内入院的AMI患者48例,分别在发病后2、4、6h各时间段采肘静脉血,检测血清中H-FABP、C-TnI、CK-MB、MYO的含量,分析其检测数据。结果发病2h血清H-FABP、CTnI、CK-MB、MYO的阳性率分别为81.8%、40.9%、4.5%、77.3%;发病4h的阳性率分别为100%、79.6%、53.6%、92.9%;发病6h的阳性率分别为100%、84%、76%、96%。结论 H-FABP比C-TnI和CK-MB提前呈阳性,对AMI早期诊断具有重要价值。
Objective To investigate the value of rapid detection of cardiac fatty acid binding protein (H-FABP) in the diagnosis of early acute myocardial infarction (AMI). Methods 48 cases of AMI admitted to hospital within 6 hours after chest pain were selected. The elbow venous blood was collected at 2, 4 and 6 hours after onset. The levels of serum H-FABP, C-TnI, CK-MB and MYO were measured, Analysis of its test data. Results The positive rates of serum H-FABP, CTnI, CK-MB and MYO at 2 hours after onset were 81.8%, 40.9%, 4.5% and 77.3% ; The incidence of 6h positive rates were 100%, 84%, 76%, 96%. Conclusions H-FABP is more positive than C-TnI and CK-MB in advance, which is of great value in the early diagnosis of AMI.