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测定心肌梗塞(MI)病人血液肌红蛋白浓度,不同于谷草转氨酶、乳酸脱氢酶和肌酸磷酸激酶,肌红蛋白从梗塞区进入血液较早,血中浓度变化较大。所以有可能早期诊断MI区心肌的坏死性病变,从而提高诊断的准确性。作者检查43例病人,大灶性非透壁性MI 29例,透壁性MI 14例,患者年龄57±15岁。男36例,女7例。初次MI 37例,再次MI 6例。左室前壁MI17例,后壁MI21例,侧壁MI1例。有高血压史16例,糖尿病史15例。并发急性心功能不全15例,其中
Determination of myocardial infarction (MI) patients with blood myoglobin concentration, unlike aspartate aminotransferase, lactate dehydrogenase and creatine phosphokinase, myoglobin into the bloodstream from the infarct area earlier, the blood concentration changes. Therefore, it is possible to diagnose early myocardial necrosis in MI area and improve the diagnostic accuracy. The authors examined 43 patients with macroscopic non-transmural MI in 29 and transmural MI in 14, with a mean age of 57 ± 15 years. 36 males and 7 females. The first MI in 37 cases, MI again in 6 cases. Left anterior wall MI17 cases, MI21 cases of posterior wall, side wall MI1 cases. 16 cases of hypertension and 15 cases of history of diabetes. Accompanied by acute cardiac insufficiency in 15 cases, of which