论文部分内容阅读
急性心肌梗死的临床诊断既要依据心电图及患者的病史,还要借助生物化学标志物,同时要进行预后评估。心肌酶谱极强的敏感性在急性心肌梗死的诊断中具有举足轻重的作用,尤其是血清心肌酶。血清心肌酶是如今应用最为广泛的心肌损伤生物化标志物,大部分处在心肌位置,只有心肌组织受到严重损伤的时候,才会释放入血,对于比较小的损伤却没有多大影响,在心肌梗死发病后的4—6小时开始慢慢升高,16—24小时以后达到高峰,3—4天以后才恢复正常。其增长程度及时间能比较准确地反映出梗死的具体方位及范围,其高峰期是否提前出现,则可判断溶栓治疗是否取得成功。
The clinical diagnosis of acute myocardial infarction depends not only on the ECG and the patient’s medical history, but also on the use of biochemical markers and prognostic assessment. The strong sensitivity of myocardial enzymes plays an important role in the diagnosis of acute myocardial infarction, especially in serum myocardial enzymes. Serum myocardial enzymes are the most widely used biochemical markers of myocardial injury, most of them in the myocardial position, only the myocardial tissue is severely damaged when it will be released into the blood, but for the lesser damage but not much influence in the myocardium 4-6 hours after the onset of infarction began to slowly rise, reached peak after 16-24 hours, 3-4 days after returning to normal. Its growth and time can more accurately reflect the specific location and scope of infarction, whether its peak appears in advance, you can determine the success of thrombolytic therapy.