【摘要】 目的:评价心肌肌钙蛋白T(cTn-T)对急性心肌梗死(AMI)患者预后的判断价值。方法:采用酶联免疫吸附法动态测定161例AMI患者cTn-T浓度。结果:AMI病人血清cTn-T浓度变化呈两种趋势:有再灌注者表现为双峰曲线,无再灌注者表现为单峰曲线。病情平稳的患者cTn-T浓度在峰值后表现为持续下降直至正常,而死亡病人则表现为继续升高或保持高水平不降。结论:AMI患者血清cTn-T若持续升高或居高不下,提示临床预后差,对这类病人应加强治疗和监护。更多还原

【Abstract】 To evaluate the prognostic value of the changes of serum cardiospecific troponin T (cTn-T) levels in acute myocardial infarction (AMI). Methods: Serum cTn-T levels of 161 AMI patients were measured by tropinin T enzyme linked immunoassay (ELISA). Results: Changes of serum cTn-T concentration appeared two ways of biphasic and monophasic curve. Biphase curve appeared in patients with early reperfusion, and monophasic curve in non-reperfusion patients. cTn-T concentration was relatively higher in dead person. Conclusion: In AMI patients, higher serum troponin T concentration means poor prognosis. Careful treatment and monitoring for these patients should be obtained.更多还原