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血清肌红蛋白(SMb)测定在诊断急性心肌梗塞(AMI)中的价值已被肯定,而严重充血性心力衰竭(心功能Ⅳ级)与 AMI 之间比较报道不多.本文旨在比较二者的 SMb,以避免诊断错误.材料和方法 1986年4～8月 AMI16例,男12、女4,平均60.4岁(42～70岁),严重心衰18例,男12、女6,平均51.5岁(17～69岁),风心8、冠心6、心肌病4例.正常人40例,男26、女14,20～60岁,平均40.5岁.病人入院时及出院时各采血一次.使用上海生物制品研究所提供的125I-MbRIA 药盒,按说明书操作规程测定 SMb.采用 x~2和 t 检验作统计分析.结果和讨论本组正常值24.31±2.81ng/ml,
The value of serum myoglobin (SMb) determination in the diagnosis of acute myocardial infarction (AMI) has been affirmed, while severe congestive heart failure (cardiac function grade Ⅳ) and AMI reported relatively little.This paper aims to compare the two Of the SMb, to avoid diagnostic errors.Materials and methods AMI16 cases from April to August 1986, male 12, female 4, average 60.4 years (42 to 70 years), severe heart failure in 18 cases, male 12, female 6, average 51.5 Aged 17 to 69 years old, wind heart 8, coronary heart disease 6, cardiomyopathy in 4. 40 normal, male 26, female 14 and 20 to 60 years old, average 40.5 years old.The patients were admitted to hospital and blood collected once .By using the 125I-MbRIA kit provided by Shanghai Institute of Biological Products, the SMb was determined according to the instruction manual.Statistical analysis was performed using x ~ 2 and t test.RESULTS AND DISCUSSION The normal value of this group was 24.31 ± 2.81ng / ml,