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脑外伤患者心肌酶谱改变的临床意义
Clinical significance of changes of myocardial enzymes in patients with traumatic brain injury
【摘要】 目的观察脑外伤患者血清心肌酶谱的改变,探讨其临床意义。方法选择120例脑外伤患者,根据Glascow标准将伤情评估为三组:3分组(极重度组)、4~5分组(重度组)和6~8分组(中度组),每组40例;同时选择门诊健康体检者40例为对照组,比较各组患者血清心肌酶变化。结果脑外伤各组患者的血清心肌酶均高于对照组;极重度组的血清心肌酶含量高于重度组和中度组(P<0.05);重度组血清心肌酶含量高于中度组(P<0.05)。结论脑外伤急性期血清心肌酶升高程度与病情轻重相关,血清心肌酶检测有助于判断脑外伤患者的病情及预后。
【Abstract】 Objective To investige the changes of myocardial enzymes in patients with traumatic brain injury and discussing its clinical significance.Methods Chosing 120 cases of traumatic brain injury and assessing their injury condition according to Glascow criteria.They were divided into three groups: 3 point group(very severe patients),4~5 point group(severe patients),6~8 point group(moderate patients).Each group had 40 patients.Chosing 40 healthy people as the control group to compare the changes of serum enzyme in each group.Results The levels of myocardial enzymes of traumatic brain injury patients were averagely higher than the control group.The contents of serum enzyme for very severe patients were higher than that of severe patients and moderate patients(P<0.05).The contents of serum enzyme of severe patients were higher than that of the moderate patients(P<0.05).Conclusion The increase of degree of serum enzymes in acute brain injury is related with the severity of the patients.The detection of serum enzymes will be helpful in determining the conditions and prognosis for patients with traumatic brain injury.
【Key words】 Traumatic brain injury; Myocardial enzyme; Brain heart syndrome.;
- 【文献出处】 临床医学 ,Clinical Medicine , 编辑部邮箱 ,2011年03期
- 【分类号】R651.1
- 【被引频次】4
- 【下载频次】62