血清心肌酶检测对成人重症肺炎的临床意义

发布时间：2018-06-13 03:22

本文选题：心肌酶 + 重症肺炎　；参考：《中国卫生检验杂志》2014年24期

【摘要】：目的探讨成人重症肺炎患者心肌酶水平的临床意义。方法选取82例成人重症肺炎患者为重症肺炎组,97例普通肺炎患者为普通肺炎组,同期健康体检者50例作为健康对照组。对3组患者分别进行全自动生化分析仪血清心肌酶检测,并比较心肌酶异常组与心肌酶正常组并发症发生率与死亡率。结果重症组患者血清心肌酶的指标较肺炎组与对照组上升明显,差异有统计学意义(P0.05),肺炎组患者和对照组患者的血清心肌酶比较差异无统计学意义(P0.05);病毒性重症肺炎心肌酶异常率为67.9%,较其他类型高,差异有统计学意义(P0.05);重症肺炎心肌酶异常组的心电图异常率及心衰发生率较心肌酶正常组升高且差异有统计学意义(P0.05)。结论血清心肌酶检测结果对成人重症肺炎的病情监测与预后判断有重要临床意义。
[Abstract]:Objective to investigate the clinical significance of myocardial enzyme level in adult patients with severe pneumonia. Methods Eighty-two adult patients with severe pneumonia were selected as severe pneumonia group and 97 patients with common pneumonia as normal pneumonia group and 50 healthy persons as control group. The serum myocardial enzymes were detected by automatic biochemical analyzer in three groups, and the incidence of complications and mortality were compared between the abnormal myocardial enzyme group and the normal myocardial enzyme group. Results the indexes of serum myocardial enzymes in severe group were significantly higher than those in pneumonia group and control group. There was no significant difference in serum myocardial enzyme between pneumonia group and control group (P 0.05), and the abnormal rate of myocardial enzyme in viral severe pneumonia was 67.9%, which was higher than that in other types. The abnormal rate of ECG and the incidence of heart failure in severe pneumonia group were higher than those in normal group and the difference was statistically significant (P 0.05). Conclusion the results of serum myocardial enzyme detection have important clinical significance in monitoring the condition and prognosis of adult severe pneumonia.
【作者单位】：泰州市第二人民医院检验科;
【分类号】：R563.1

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