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超敏C-反应蛋白在急诊胸痛患者中的诊断意义

C-Reactive Protein Diagnostic Value in Emergency Patients with Chest Pain

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【作者】 张海霞梁四维刘光辉

【Author】 ZHANG Haixia LIANG Siwei LIU Guanghui 1.Emergency internal medicine,Tongji Hospital of Tongji University 2.Department of Respiratory Medicine,Tongji Hospital of Tongji University,Shanghai 200065,China

【机构】 同济大学附属同济医院急诊内科同济大学附属同济医院呼吸内科

【摘要】 目的检验超敏C-反应蛋白(hs-CRP)在急诊胸痛患者中的水平,以分析其在治疗中的诊断意义。方法入选2009年1月至2009年9月期间我院急诊科接诊主诉为胸痛的患者,对267例进行hs-CRP测定,以及心电图、心肌酶谱检查。结果各组心血管性疾病患者(140例)血清hs-CRP浓度显著高于对照组[62例,(1.22±0.96)mg/L]。心血管性疾病患者的hs-CRP水平显著高于对照组,而非心血管性疾病组与对照组相比无显著差别。结论hs-CRP的测定可辅助急诊胸痛患者预测心源性疾病的发生,这将有助于急诊科医生对于心源性疾病的快速诊断。

【Abstract】 Objective To test diagnostic values of C-reactive (CRP) in patients to the emergency room with chest pain during training.Methods From January 2009 to September 2009,267 patients were performed by measurements of hs-CRP,in addition to ECG and myocardial enzymes.Results Serum hs-CRP c-oncentrations in patients with cardiovascular diseases(140 cases)were ignificantly higher than those in controls [62cases,(1.22±0.96)mg/L].In cardiovascular disease patients,serum hs-CRP concen-trations were elevated in SA,UA and AMI groups as compared with the control group,serum hs CRP were significantly increased,no statistical differentiation between nocardiovascular diseases group and control group.Conclusion These results suggest that measurements of hs-CRP for patients admitted to the emergency room with chest pain may be practical and useful.Using this method,emergency doctors can rapidly gained objective standard to judge cardiovascular events.

【关键词】 超敏C-反应蛋白急诊患者胸痛
【Key words】 C-reactive proteinEmergency patientsChest pain
  • 【文献出处】 中外医疗 ,China Foreign Medical Treatment , 编辑部邮箱 ,2010年02期
  • 【分类号】R446.6
  • 【被引频次】1
  • 【下载频次】57
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