榫欐簮鏈熷垔缃?/p>
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蹇冭倢鏍囧織鐗╂娴嬪湪鎬ユ�у績鑲屾姝昏瘖鏂腑鐨勪环
鍊兼帰璁?/p>
浣滆�咃細
鑸掓晱
鏉ユ簮锛氥�婂尰瀛︿俊鎭�?/p>
2014
骞寸
20
鏈?/p>
鎽樿锛氱洰鐨勬娴嬬枒浼煎績鑲屾姝绘偅鑰呮棭鏈熻娓呬腑鑲岄吀婵�閰跺悓宸ラ叾
(CK-MB)
銆佽倢閽欒泲鐧?/p>
I(cTnI)
銆佽倢绾㈣泲鐧?/p>
(Myo)
鐨勬祿搴︼紝鎺㈣杩欎簺鏍囧織鐗╁湪鎬ユ�у績鑲屾姝?/p>
(acute myocardial infarction
锛?/p>
AMI)
鏃╂湡璇婃柇涓殑浠峰�笺�傛柟娉曢�夊彇鏈櫌鍐呯鍥犺兏鐥涙敹娌荤殑鎬�鐤戝績姊楃殑鎮ｈ�?/p>
90
渚嬶紝鎸?/p>
WHO
鏍?/p>
鍑嗗垎涓?/p>
AMI
缁勫拰闈?/p>
AMI
瀵圭収缁勮繘琛屽績鑲屾爣蹇楃墿鐨勬娴嬶紝缁撴灉杩涜缁熻瀛﹀垎鏋愩�傜粨鏋?/p>
AMI
缁?/p>
琛�娓?/p>
CK-MB
銆?/p>
cTnI
銆?/p>
Myo
鐨勬祿搴﹀潎楂樹簬闈?/p>
AMI
缁?/p>
(P
鍏抽敭璇嶏細蹇冭倢鏍囧織鐗╋紱蹇冭倢姊楁锛涜仈鍚堟娴嬪湪缂鸿鎬у績鑴忔偅鑰呬腑锛屾�ユ�у績鑲屾姝伙紙
AMI
锛?/p>
鐨勫彂鐥呯巼銆佺梾姝荤巼閮借緝楂樸�傚ぇ閲忕殑涓村簥璧勬枡鏄剧ず锛屽ぇ姒傛湁鍥涘垎涔嬩竴鐨勬偅鑰咃紝鏃╂湡娌℃湁杈冨吀鍨嬬殑
涓村簥鐥囩姸锛岃�屽叾涓湁
1/2
鐨勬偅鑰呯敋鑷充篃娌℃湁杈冨吀鍨嬬殑蹇冪數鍥炬敼鍙樸�傝繖灏辩粰涓村簥璇婃柇
AMI
甯︽潵鍥?/p>
闅?/p>
[1]
銆傜粡杩囨暟鍗佸勾鐨勭爺绌舵帰璁紝蹇冭倢鏍囧織鐗╃殑瀹為獙瀹ゆ娴嬪湪椤圭洰缁勫悎銆佸疄楠屾柟娉曘�佹娴嬫椂闂?/p>
涓婇兘鏈変簡閲嶅ぇ绐佺牬銆傝倢绾㈣泲鐧斤紙
Myo
锛夈�佽倢閽欒泲鐧斤紙
cTnI
锛夈�佽倢閰告縺閰讹紙
CK
锛夊拰鑲岄吀婵�閰跺悓
宸ラ叾锛?/p>
CK-MB
锛夌殑妫�娴嬭繎骞存潵宸茬粡鐢ㄤ簬
AMI
鐨勬偅鑰呭績鑲屾崯浼ょ殑妫�娴嬨�傚涓村簥鐥囩姸涓嶅お鏄庣‘锛?/p>
涓斿績鐢靛浘涔熸湭鍑虹幇鍏稿瀷鏀瑰彉鐨?/p>
AMI
鎮ｈ�咃紝灏?/p>
Myo
銆?/p>
cTnI
銆?/p>
CK-MB
鍚屾椂娴嬪畾宸蹭笉澶变负涓�绉嶆棭鏈?/p>
璇婃柇鐨勮鎭拰鎻愮ず
[2]
銆?/p>
1
璧勬枡涓庢柟娉?/p>
1.1
涓�鑸祫鏂?/p>
鏀堕泦
2013
骞?/p>
1
鏈?/p>
~10
鏈堝湪鏈櫌鏀舵不鐨勬�ユ�х己琛�鎬ц兏鐥涙偅鑰?/p>
90
渚嬶紝鐢?/p>
52
渚嬪コ
38
渚嬶紝鎸夌収
WHO
璇婃柇鏍囧噯纭瘖
AMI
鎮ｈ�?/p>
52
渚嬩负
AMI
缁勶紝骞撮緞
42.7~70.7
宀侊紝鍚屾湡
38
渚嬭兏
鐥涙偅鑰呯粡蹇冪數鍥惧僵鑹插鏅嫆瓒呭０妫�鏌ユ棤鐗瑰紓鎬ф敼鍙樹负闈?/p>
AMI
缁勶紝骞撮緞
35.7~57.2
銆?/p>
1.2
鏂规硶
鎵�鏈夋偅鑰呯┖鑵归潤鑴夋娊琛�
3 mL
锛岀珛鍗虫贩鍖�鍚庡垎绂昏娓咃紝鍒嗗埆妫�娴嬩袱缁勬偅鑰?/p>
Myo
銆?/p>
cTnI
銆?/p>
CK-MB
鍚噺銆備华鍣ㄤ负缇庡浗闆呭煿
I2000
鍏ㄨ嚜鍔ㄥ寲瀛﹀彂鍏夊垎鏋愪华锛岃瘯鍓備负鍘傚鍘熻璇曞墏銆?/p>
涓ユ牸鎸夌収浠櫒瑙勮寖鎿嶄綔瑙勭▼鎿嶄綔銆?/p>
1.3
缁熻瀛﹀垎鏋?/p>
璁￠噺璧勬枡鐢?/p>
(x卤
s)
琛ㄧず锛岀粍闂村樊寮傛瘮杈冪敤
t
妫�楠屻�?/p>
2
缁撴灉
52
渚?/p>
AMI
缁?/p>
Myo
銆?/p>
cTnI
銆?/p>
CK-MB
鍚噺杈冮潪
AMI
缁勬湁鏄庢樉鍗囬珮锛屽樊寮傚叿鏈夌粺璁″鎰忎箟锛?/p>
锛?/p>
P
锛?/p>
0.05
锛夛紝瑙佽〃
1
銆?/p>
3
璁ㄨ