【摘要】 目的:探讨急性颅脑外伤患者心肌酶检测的临床意义。方法:根据入院时格拉斯哥昏迷评分标准(GCS)评分,分为轻中度组(9~15分)和重型组(3~8分);根据格拉斯哥预后评分标准(GOS)预后评定,分预后优良组(4~5分)、预后不良组(2~3分)和死亡组。抽取静脉血进行心肌酶谱检测,观察急性颅脑损伤患者的心肌酶含量的变化情况。结果:所有颅脑损伤的轻中度组和重型组血清心肌酶值均高于正常对照组(P<0.05);重型组血清心肌酶值高于轻中度组(P<0.05);预后优良组、预后不良组和死亡组三组间所有心肌酶指标差异存在显著性(P<0.05);死亡组心肌酶指标明显高于预后优良组,组间差异存在显著性(P<0.01)。结论:对急性颅脑外伤患者进行血清心肌酶的监测,可及早发现并处理心肌损伤迹象,降低其病死率和致残率,对于提高颅脑外伤抢救成功率有着积极意义。更多还原

【Abstract】 Objective:To explore the clinical significance of the detection of myocardial enzymes in patients with acute craniocerebral injury.Methods:According to Glasgow outcome score(GCS)score on admission,divided into mild-moderate donor group(9-15points)and heavy group(3-8points);According to the Glasgow outcome scale(GOS)prognosis evaluation,points good prognosis group(4-5points), poor prognosis group(2-3points)and death.Venous blood was drawn for myocardial enzyme spectrum detection,observe the change of the content of myocardial enzymes in patients with acute craniocerebral injury.Results:All groups of craniocerebral injury of mild-to-moderate values of serum myocardial enzyme and heavy group were higher than in normal control group(P<0.05);Heavy values of serum myocardial enzyme is higher than mild-to-moderate group(P<0.05);Prognosis is good,the poor prognosis group and death group among 3groups exist significant difference all myocardial enzyme index(P<0.05);Good prognosis of myocardial enzyme indicators death group was obviously higher than that of group,there is significant difference between groups(P<0.01).Conclusion:For patients with acute craniocerebral trauma in monitoring of serum myocardial enzyme,signs can early detection and treatment of myocardial injury,can reduce the mortality and morbidity,is of great significance for the improvement of craniocerebral trauma rescue success rate.更多还原